Sara Deanne Smith, LAC, LPCC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035

Phone

(303) 467-4878

NPI assigned

Jun 26, 2019

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1205497575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 W 84TH CIR APT 117",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031150",
            "telephone_number": "720-296-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336035",
            "telephone_number": "303-467-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "middle_name": "DEANNE",
        "credential": "LAC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Beth Smith, LCSW
• Laura Mae Smith, PMHNP-BC
• Lauren Marie Smith
• Mindy Jane Smith, FNP-C
• Rebecca Anne Smith, BS, MA, LPC
• Shawn T Smith, PSY.D.
• Benjamin Snead, LMT
• Anastasia Snelling
• Christopher Snook, DPT
• Noah Matthew Snyder I, ATC

• Substance Abuse Rehabilitation Facility in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.