Individual provider Active NPI

Lonna Dione Smith, MAMFT

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1225187396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0625 Issued in KY
Practice address
4012 Dupont Cir
Suite 213
Louisville, KY 40207-4813
Phone
(502) 649-4143
Fax
(502) 327-8994
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0625 KY Primary

Addresses

Primary practice location

4012 Dupont Cir
Suite 213
Louisville, KY 40207-4813

Mailing address

PO Box 7864
Louisville, KY 40257-0864
Phone (502) 649-4143

Other identifiers 1

IdentifierTypeStateIssuer
0625OtherKYMARRIAGE &FAMILY THERAPY

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225187396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7864",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570864",
            "telephone_number": "502-649-4143",
            "fax_number": "502-327-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 DUPONT CIR",
            "address_2": "SUITE 213",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074813",
            "telephone_number": "502-649-4143",
            "fax_number": "502-327-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LONNA",
        "middle_name": "DIONE",
        "name_prefix": "Ms.",
        "credential": "MAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE  &FAMILY THERAPY",
            "identifier": "0625",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.