Active NPI
Ellen Smithey, MA, ATR-BC
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1174250625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 21-448
- Practice address
- 4700 Staggerbrush Rd Apt 315
Austin, TX 78749-1056 - Phone
- (248) 759-8463
- NPI assigned
- Aug 4, 2022
- Last updated
- Aug 4, 2022
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 21-448 | MI | Primary |
Addresses
Primary practice location
4700 Staggerbrush Rd Apt 315
Austin, TX 78749-1056
Mailing address
4700 Staggerbrush Rd Apt 315
Austin, TX 78749-1056
Phone (248) 759-8463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-2216004 | Other | MI | SECRETARY OF STATE |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-448 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1174250625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 STAGGERBRUSH RD APT 315",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491056",
"telephone_number": "248-759-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 STAGGERBRUSH RD APT 315",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491056",
"telephone_number": "248-759-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHEY",
"first_name": "ELLEN",
"credential": "MA, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "21-448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE",
"identifier": "86-2216004",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.