Individual provider Active NPI

Rachel Beth Kirkpatrick Smiley, T-LMLP

  • Counseling Psychologist
  • Moore, OK
National Provider Identifier
1104132141
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1361 Issued in KS
Practice address
604 S Classen Ave
Ste. a
Moore, OK 73160-5401
Phone
(405) 735-6333
Fax
(405) 735-6629
NPI assigned
Aug 27, 2010
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1361 KS Primary

Addresses

Primary practice location

604 S Classen Ave
Ste. a
Moore, OK 73160-5401

Mailing address

4301 SE 49TH Ter
Oklahoma City, OK 73135-2707
Phone (405) 833-6108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000673 OK Practitioner - Clinical Psychologist 4880843374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Kansas City, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Counseling Center, P.C.Group PAC ID 9436151511, 5 clinicians

Practice addresses (Care Compare)

1044 SW 4TH St
Moore, OK 73160-2405
Phone (405) 735-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1361KSMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Counseling Center, P.C. Counseling CurrentSince Sep 12, 2012 Accepting new patients

Locations

1044 SW 4th St
Moore, OK 73160
Phone (405) 735-6333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1104132141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SE 49TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352707",
            "telephone_number": "405-833-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S CLASSEN AVE",
            "address_2": "STE. A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605401",
            "telephone_number": "405-735-6333",
            "fax_number": "405-735-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "RACHEL",
        "middle_name": "BETH KIRKPATRICK",
        "credential": "T-LMLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.