Wanda Bo Smith, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1113 LCPC Issued in MT

Practice address

710 Grand Ave
Suite 6
Billings, MT 59101-5852

Phone

(406) 690-1616

Fax

(406) 294-2925

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Wanda M. Smith, PLLC

  • Mental Health Counselor
  • Billings, MT
  • NPI 1386583490
  NPD Authorized official
• Lynn Marie Grosulak LCPC

  • Mental Health Counselor
  • Billings, MT
  • NPI 1659545168
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1124163324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20794",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591040794",
            "telephone_number": "406-690-1616",
            "fax_number": "406-294-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GRAND AVE",
            "address_2": "SUITE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015852",
            "telephone_number": "406-690-1616",
            "fax_number": "406-294-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WANDA",
        "middle_name": "BO",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1113 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000741360",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256165",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Maria Smith, DC
• Sara Smith, PHARMD
• Shelby Lynn Smith, M.S., LCPC
• Tammye Smith, LPC, LCPC
• Tyler Robert Smith
• SMT Care of Mt, LLC
• Jerome W Smyle, OTR
• Scott N Sneddon, PT
• Kaycee Snelling, RN
• Chrissandra Ann Snider, LMT

• Mental Health Counselor in Billings, MT
• Providers in Billings, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.