Active NPI
Teresa Sue Smith, LPCC
- Counselor
- Junction City, KS
National Provider Identifier
1184978660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0963
- Practice address
- 7264 Normandy Dr
Ft. Riley
Junction City, KS 66442-4461 - Phone
- (573) 239-1883
- NPI assigned
- Nov 5, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0963 | NM | Primary |
Addresses
Primary practice location
7264 Normandy Dr
Ft. Riley
Junction City, KS 66442-4461
Mailing address
PO Box 3167
Junction City, KS 66441-6167
Phone (575) 621-6365
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0963 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1184978660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3167",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664416167",
"telephone_number": "575-621-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7264 NORMANDY DR",
"address_2": "FT. RILEY",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664424461",
"telephone_number": "573-239-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TERESA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.