Active NPI
Thomas Edwin Smith, PH.D.
- Marriage & Family Therapist
- Angola, IN
National Provider Identifier
1164638987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001035A
- Practice address
- 2955 W Orland Rd
Angola, IN 46703-8043 - Phone
- (260) 833-4976
- Fax
- (260) 833-1885
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34002582A | IN | |
| Marriage & Family Therapist | 106H00000X | 35001035A | IN | Primary |
Addresses
Primary practice location
2955 W Orland Rd
Angola, IN 46703-8043
Mailing address
2955 W Orland Rd
Angola, IN 46703-8043
Phone (260) 833-4976
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002582A | IN | MD | Clinical Social Worker |
| 35001035A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164638987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 W ORLAND RD",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467038043",
"telephone_number": "260-833-4976",
"fax_number": "260-833-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 W ORLAND RD",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467038043",
"telephone_number": "260-833-4976",
"fax_number": "260-833-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "THOMAS",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002582A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001035A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.