Active NPI
Kathy G. Smedley, LPC-S, LMFT, LSOTP,
- Professional Counselor
- Winnsboro, TX
National Provider Identifier
1124013644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 09706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9706 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 09706 | TX | MD | Professional 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.