Kristina Louise Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6050 Issued in OK

Practice address

406 Maple St Ste 2
Yukon, OK 73099-2657

Phone

(918) 520-9863

NPI assigned

Nov 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kristina Louise Boone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124372669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MAPLE ST STE 2",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992657",
            "telephone_number": "918-520-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MAPLE ST STE 2",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992657",
            "telephone_number": "918-520-9863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 E 136th St",
            "address_purpose": "LOCATION",
            "city": "Glenpool",
            "state": "OK",
            "postal_code": "740333205",
            "country_code": "US",
            "telephone_number": "918-520-9863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 S Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Okmulgee",
            "state": "OK",
            "postal_code": "744476825",
            "country_code": "US",
            "telephone_number": "918-520-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTINA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "BOONE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra M Smith, M.S., CCC-SLP
• Jasmin Smith
• Jasmine L Smith
• Jason E Smith, CRNA
• Jeasica Nicole Smith
• Kylee Smith
• Lesley Jeanine Smith, P.A.
• Megan Danielle Smith, DNP, APRN
• Michael Smith, PRSS
• Rachel Smith

• Mental Health Counselor in Yukon, OK
• Providers in Yukon, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.