Active NPI
Diane Smedley, LPC
- Mental Health Counselor
- The Woodlands, TX
National Provider Identifier
1144869496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79709
- Practice address
- 10210 Grogans Mill Rd Ste 193
The Woodlands, TX 77380-1143 - Phone
- (832) 934-4627
- NPI assigned
- Jan 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79709 | TX | Primary |
Addresses
Primary practice location
10210 Grogans Mill Rd Ste 193
The Woodlands, TX 77380-1143
Mailing address
22 Camborn PL
The Woodlands, TX 77384-4743
Phone (407) 739-7206
Other practice location 1
5900 Memorial Dr Ste 218
Houston, TX 77007-8008
Phone (832) 934-4627
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 |
|---|---|---|---|
| 79709 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578096000000",
"number": "1144869496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CAMBORN PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844743",
"telephone_number": "407-739-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 GROGANS MILL RD STE 193",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801143",
"telephone_number": "832-934-4627"
}
],
"practiceLocations": [
{
"address_1": "5900 Memorial Dr Ste 218",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770078008",
"country_code": "US",
"telephone_number": "832-934-4627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMEDLEY",
"first_name": "DIANE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-04",
"last_updated": "2020-01-04",
"certification_date": "2020-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.