Active NPI
Patrick Smith
- Marriage & Family Therapist
- Madison, TN
National Provider Identifier
1114524451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 223 Madison St Ste 113
Madison, TN 37115-3660 - Phone
- (412) 559-1156
- NPI assigned
- Oct 8, 2020
- Last updated
- Dec 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
223 Madison St Ste 113
Madison, TN 37115-3660
Mailing address
223 Madison St Ste 113
Madison, TN 37115-3660
Phone (412) 559-1156
Other practice location 1
412 S Petway St
Franklin, TN 37064-3321
Phone (412) 559-1156
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | psmithcounseling@protonmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638576000000",
"number": "1114524451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MADISON ST STE 113",
"city": "MADISON",
"state": "TN",
"postal_code": "371153660",
"telephone_number": "412-559-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 MADISON ST STE 113",
"city": "MADISON",
"state": "TN",
"postal_code": "371153660",
"telephone_number": "412-559-1156"
}
],
"practiceLocations": [
{
"address_1": "412 S Petway St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370643321",
"country_code": "US",
"telephone_number": "412-559-1156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-08",
"last_updated": "2021-12-04",
"certification_date": "2021-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "psmithcounseling@protonmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "223 Madison St Ste 113",
"city": "Madison",
"state": "TN",
"country_code": "US",
"postal_code": "371153660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.