Samantha Jade Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

801 N 31St St Ste 1
Monroe, LA 71201-3959

Phone

(318) 737-7794

NPI assigned

Aug 20, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thinktrek LLC

  dba Center for Counseling and Psychological Resources

  • Professional Counselor
  • Ruston, LA
  • NPI 1215415229
  NPD

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1104306034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CLEAR BRANCH RD",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712415043",
            "telephone_number": "318-235-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 31ST ST STE 1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013959",
            "telephone_number": "318-737-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Ruth Smith, D.N.P., APRN, FNP-C
• Nicholas Slade Smith, M.D.
• Randall Smith
• Richard D Smith Jr., M.D.
• Ronny Smith Jr., LCSW
• Sarah Smith
• Shantray Lenay Smith, LPC-S
• Shaquantalyn Smith
• Shelly Smith
• Stacey Renee Smith

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.