Samuel M. Smith, Ma, LMFT, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

35001463A Issued in IN

Legal business name

SAMUEL M. SMITH, MA, LMFT, LMHC

Practice address

4920 Common Vista CT
Indianapolis, IN 46220-5394

Phone

(317) 466-9809

Fax

(317) 466-9809

NPI assigned

Aug 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samuel Mark Smith, MA, LMFT, LMHC

Title

Marriage & Family Therapist

Phone

(317) 466-9809

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1104018985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 COMMON VISTA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205394",
            "telephone_number": "317-466-9809",
            "fax_number": "317-466-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 COMMON VISTA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205394",
            "telephone_number": "317-466-9809",
            "fax_number": "317-466-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL M. SMITH, MA, LMFT, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "317-466-9809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "35001463A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Sams
• Maryan Samsom, MD
• Jessica Samson, PA-C
• Kelly Akin Samson, M.S., C.G.C.
• Puja G Samudra, MD
• Jessica Samuel, PHARMD
• Naomi Samuel, MD
• Terence Samuel, M.D.
• Terri T Samuel, MD
• Summer Samuels, MD

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.