Active NPI
Frederick R Smith, MA
- Counselor
- Trenton, MO
National Provider Identifier
1124263389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2008035216
- Practice address
- 1601 E 28TH St
Trenton, MO 64683-1178 - Phone
- (660) 359-4487
- NPI assigned
- Dec 2, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2008035216 | MO | Primary |
Addresses
Primary practice location
1601 E 28TH St
Trenton, MO 64683-1178
Mailing address
PO Box 30
Trenton, MO 64683-0030
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008035216 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1124263389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30",
"city": "TRENTON",
"state": "MO",
"postal_code": "646830030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 28TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646831178",
"telephone_number": "660-359-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "FREDERICK",
"middle_name": "R",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2008035216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.