Carla K Smith, RN, LPC-CAND.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5528 E Reno Ave
Oklahoma City, OK 73117-8418

Phone

(405) 512-1987

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Dynasty Care Services, LLC

  • Home Health Agency
  • Del City, OK
  • NPI 1578840302
  NPD (past)

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1164720736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 KAEYLEE LN",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731152500",
            "telephone_number": "405-512-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 E RENO AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731178418",
            "telephone_number": "405-512-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4337 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731153001",
            "country_code": "US",
            "telephone_number": "405-609-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLA",
        "middle_name": "K",
        "credential": "RN, LPC-CAND.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "102202",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "1164720736",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittni Smith
• Bryanna Montana Smith, OTA
• Calvin Smith
• Calvin L Smith, LCPC, LPC
• Candice Sue Smith
• Carol Tripp Smith, L.P.C.
• Caroline Gravette Smith
• Casey A Smith, M.ED., LPC
• Chandler Allen Smith
• Christina Smith

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, 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 Sep 14, 2021; 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.