Lafayette Smith

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

600 N Arrowhead Ave
San Bernardino, CA 92401-1164

Phone

(909) 963-5355

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Recovery Innovations Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Indio, CA
  • NPI 1619535234

  Single Specialty

  NPD (past)
• Step Up on Second Street Inc.

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1285186353

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1104483486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011164",
            "telephone_number": "909-963-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011164",
            "telephone_number": "909-963-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31760 Casino Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304561",
            "country_code": "US",
            "telephone_number": "951-704-9385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31760 Casino Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304561",
            "country_code": "US",
            "telephone_number": "951-704-9385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47915 Oasis St Ste C",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "92201",
            "country_code": "US",
            "telephone_number": "760-989-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAFAYETTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Smith, DDS
• Karen Lyn Smith
• Kevin Smith
• Kimby Smith
• Kyler Smith
• Lydia Smith
• Makayla Ailene Smith
• Michael R Smith
• Michael R. Smith Sr.
• Misty Renee Smith

• Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.