Individual provider Active NPI

Jeanene Lea Smith, MA, LPC, LMFT

  • Marriage & Family Therapist
  • West Lake Hills, TX
National Provider Identifier
1184959363
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201401 Issued in TX
Practice address
1000 Westbank Dr
BLDG 5a Suite 110
West Lake Hills, TX 78746-6598
Phone
(512) 578-8255
Fax
(512) 597-0875
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 64475 TX
Marriage & Family Therapist 106H00000X 201401 TX Primary

Addresses

Primary practice location

1000 Westbank Dr
BLDG 5a Suite 110
West Lake Hills, TX 78746-6598

Mailing address

1000 Westbank Dr
BLDG 5a Suite 110
West Lake Hills, TX 78746-6598
Phone (512) 578-8255

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

LicenseStateTypeSpecialty
201401TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1184959363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WESTBANK DR",
            "address_2": "BLDG 5A SUITE 110",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466598",
            "telephone_number": "512-578-8255",
            "fax_number": "512-597-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WESTBANK DR",
            "address_2": "BLDG 5A SUITE 110",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466598",
            "telephone_number": "512-578-8255",
            "fax_number": "512-597-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANENE",
        "middle_name": "LEA",
        "credential": "MA, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64475",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.