Active NPI
Kim Mari Smithson, CADC
- Addiction (Substance Use Disorder) Counselor
- Guthrie, OK
National Provider Identifier
1194008920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 169
- Practice address
- 1217 W Industrial Rd
Guthrie, OK 73044-6029 - Phone
- (405) 464-1217
- NPI assigned
- Sep 28, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 169 | OK | Primary |
Addresses
Primary practice location
1217 W Industrial Rd
Guthrie, OK 73044-6029
Mailing address
1217 W Industrial Rd
Guthrie, OK 73044-6029
Phone (405) 464-1217
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 |
|---|---|---|---|
| 169 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1194008920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 W INDUSTRIAL RD",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730446029",
"telephone_number": "405-464-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 W INDUSTRIAL RD",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730446029",
"telephone_number": "405-464-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHSON",
"first_name": "KIM",
"middle_name": "MARI",
"name_prefix": "Ms.",
"credential": "CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.