Donald Ray Smith, M.ED., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2003019598 Issued in MO

Practice address

117 N Garth Ave
Columbia, MO 65203-4103

Phone

(573) 443-2204

Fax

(573) 875-5851

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1184618647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 METRO DR",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094408",
            "telephone_number": "573-634-4591",
            "fax_number": "573-634-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034103",
            "telephone_number": "573-443-2204",
            "fax_number": "573-875-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2003019598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEFF CITY NPI",
            "identifier": "1467597872",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BILLING NPI",
            "identifier": "1649269622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb J Smith, MD
• Candra N Smith, PLPC
• Catherine Smith
• Cory Smith, MD
• Dan A Smith
• Grant Smith
• Hannah Elizabeth Smith, LPTA
• Harrison Smith, PA-C
• Hayley M Smith, MED, LPC
• Hunter Douglas Smith, DNP, FNP-BC

• Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.