Avis M Smith, ED. D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68239 Issued in TX

Practice address

77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688

Phone

(832) 384-4357

NPI assigned

May 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  TX

  Medicare reassignment NPD
• Steps to Serenity Counseling, PLLC

  • Community/Behavioral Health Agency
  • Sugar Land, TX
  • NPI 1275193443
  NPD Authorized official

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1174902324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783688",
            "telephone_number": "832-384-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783688",
            "telephone_number": "832-384-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AVIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ED. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348111102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Lloyd Smalling, NP
• Smile Onsite Services PC
• Smiles at Telfair Family and Cosmetic Dentistry
• Smilz PLLC
• Aneesha Smith, RN
• Dana S Smith, PHD, LCSW
• Kirk Alan Smith, LSA
• Marcia Demarje Smith
• Robert B Smith, PA-C
• Stacie Smith, MS, RD, LD

• Professional Counselor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.