Individual provider Active NPI

Ariel Patrice Smith, PHD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1124669007
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38248 Issued in TX
Practice address
1200 Binz St Ste 270
Houston, TX 77004-6925
Phone
(877) 800-5722
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 38248 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 270
Houston, TX 77004-6925

Mailing address

205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (877) 800-5722

Other practice location 1

4849 Calhoun Rd Ste 1001A
Houston, TX 77204-2043
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ariel.smith.p1@direct.lscctx.nextgenshare.com

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38248TXMDOrthodontics and Dentofacial Orthopedic Dentist

Interoperability endpoints

  • Direct secure messaging: coral.harriman.p1@direct.lscctx.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1124669007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046925",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Calhoun Rd Ste 1001A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "772042043",
            "country_code": "US",
            "telephone_number": "877-800-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ARIEL",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2024-03-04",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariel.smith.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4849 Calhoun Rd Ste 1001A",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "772042043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.