Shirley D Smith, M.S., LP.C, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005003223 Issued in MO

Practice address

37 S Main St
Webb City, MO 64870-2378

Phone

(417) 839-1779

Fax

(888) 839-9210

NPI assigned

Dec 2, 2006

Last updated

Jul 23, 2024By 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 1

Addresses

Other identifiers 4

Other names 1

• Shirley Dawn Ankrom-Smith Professional name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Counseling Solutions, LLC

  dba Access Counseling Solutions

  • Professional Counselor
  • Webb City, MO
  • NPI 1669236634
  NPD

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1235207689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648700189",
            "telephone_number": "417-839-1779",
            "fax_number": "888-839-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S MAIN ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702378",
            "telephone_number": "417-839-1779",
            "fax_number": "888-839-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHIRLEY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.S., LP.C, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005003223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTS WITH DSS",
            "identifier": "SDA3992127",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC",
            "identifier": "49284",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497483404",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL COUNSE",
            "identifier": "2005003223",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "ANKROM-SMITH",
            "middle_name": "DAWN",
            "credential": "M.S., LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Destinee Rose Salyer, PA
• Karen Kay Sandridge, SLP
• SCPG Missouri LLC (Express Rx of Webb City)
• Serc Rehabilitation Partners LLC (SERC - Webb City)
• Ashlynn Skye
• Alicia Dawn Snyder, PHARMD
• Matthew S Stiles, D.D.S.
• Stones Corner Pharmacy Inc (Stone's Corner Pharmacy)
• Tanya Christine Thomas, MS, CIT
• Eric Richard Thomason, NP

• Professional Counselor in Webb City, MO
• Providers in Webb City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.