Individual provider Active NPI

Lucy Roldan Smith, LPC, LCMFT

  • Professional Counselor
  • Kansas City, KS
National Provider Identifier
1154694545
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2006012562 Issued in MO
Practice address
7940 Parallel Pkwy
Suite 1
Kansas City, KS 66112-2050
Phone
(816) 694-9275
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2006012562 MO Primary
Marriage & Family Therapist 106H00000X 2005037146 MO
Marriage & Family Therapist 106H00000X 813 KS

Addresses

Primary practice location

7940 Parallel Pkwy
Suite 1
Kansas City, KS 66112-2050

Mailing address

4131 N Mulberry Dr Ste 245
Kansas City, MO 64116-2259
Phone (816) 694-9275

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

LicenseStateTypeSpecialty
2006012562MOMDProfessional Counselor
2005037146MOMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resiliency Counseling, LLC Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1154694545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N MULBERRY DR STE 245",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162259",
            "telephone_number": "816-694-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 PARALLEL PKWY",
            "address_2": "SUITE 1",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122050",
            "telephone_number": "816-694-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LUCY",
        "middle_name": "ROLDAN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006012562",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2005037146",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.