Individual provider Active NPI

Kathy G. Smedley, LPC-S, LMFT, LSOTP,

  • Professional Counselor
  • Winnsboro, TX
National Provider Identifier
1124013644
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
09706 Issued in TX
Practice address
403 N Post Oak
Winnsboro, TX 75494
Phone
(903) 975-1575
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9706 TX
Professional Counselor 101YP2500X 09706 TX Primary

Addresses

Primary practice location

403 N Post Oak
Winnsboro, TX 75494

Mailing address

8234 Farm Road 3019
Winnsboro, TX 75494-4731
Phone (903) 629-5505

Other names 1

  • Kathy Leslie Smedley Professional name

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

State licenses

LicenseStateTypeSpecialty
9706TXMDAddiction (Substance Use Disorder) Counselor
09706TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1124013644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8234 FARM ROAD 3019",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754944731",
            "telephone_number": "903-629-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N POST OAK",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "75494",
            "telephone_number": "903-975-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "KATHY",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "LPC-S, LMFT, LSOTP,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9706",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "09706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SMEDLEY",
            "middle_name": "LESLIE",
            "credential": "LPC, LMFT, ASOTP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winnsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.