Active NPI
Becky Smith, LPC
- Professional Counselor
- Coffeyville, KS
National Provider Identifier
1194589309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04780
- Practice address
- 601 West 8TH Street
Coffeyville, KS 67337-2931 - Phone
- (620) 505-4011
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC04780 | KS | Primary |
Addresses
Primary practice location
601 West 8TH Street
Coffeyville, KS 67337-2931
Mailing address
601 West 8TH Street
Coffeyville, KS 67337-7714
Phone (620) 505-4011
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 |
|---|---|---|---|
| LPC04780 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Therpeutic | Current | Accepting new patients | |
| Smith Therapeutic Inc | Mental Health | Current | Accepting new patients |
| Born to Blossom LLC | Professional | Past | Accepting new patients |
Locations
601 W 8th St
Coffeyville, KS 67337
Phone (620) 505-4011
Organizations & group practices 3
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": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1194589309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WEST 8TH STREET",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673377714",
"telephone_number": "620-505-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WEST 8TH STREET",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673372931",
"telephone_number": "620-505-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BECKY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LPC04780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coffeyville, KS
- Thaddeus Alton Shelton Jr., LMFT 03720
- Katelyn Brianne Shepard, PHARMD
- Rylie Blaine Shoop, COTA
- Smith Therapeutic Inc (Echota Therapy)
- Smith Therpeutic (Echota Therapy)
- Evelyn V Smith, LSCSW
- Wendy Smith
- Southeast Kansas Eye Care Associates, P.a.
- Southeast Kansas Health Care LLC
- Southeast Kansas Medical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.