Individual provider Active NPI

Joseph Smart, LMFT

  • Marriage & Family Therapist
  • Meridian, ID
National Provider Identifier
1194071068
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-7127 Issued in ID
Practice address
3288 E Pine Ave
Meridian, ID 83642-5922
Phone
(208) 871-5649
Fax
(208) 658-0153
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT - 4656 ID
Marriage & Family Therapist 106H00000X LMFT-7127 ID Primary

Addresses

Primary practice location

3288 E Pine Ave
Meridian, ID 83642-5922

Mailing address

3288 E Pine Ave
Meridian, ID 83642-5922
Phone (208) 871-5649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 22, 2024 through Nov 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT - 4656IDMDMarriage & Family Therapist
LMFT-7127IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1194071068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425922",
            "telephone_number": "208-871-5649",
            "fax_number": "208-658-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425922",
            "telephone_number": "208-871-5649",
            "fax_number": "208-658-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT - 4656",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-7127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.