Active NPI
Rick E Smith, LPC
- Mental Health Counselor
- Independence, MO
National Provider Identifier
1235484999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2010040544
- Practice address
- 4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8312 - Phone
- (816) 373-9240
- NPI assigned
- Jul 18, 2012
- Last updated
- Jul 18, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2010040544 | MO | Primary |
Addresses
Primary practice location
4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8312
Mailing address
4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8312
Phone (816) 373-9240
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 |
|---|---|---|---|
| 2010040544 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diakonos Inc | Mental Health | Past | Accepting new patients |
| Brian a Fidler | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1235484999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 LITTLE BLUE PKWY",
"address_2": "SUITE 360",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640578312",
"telephone_number": "816-373-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 LITTLE BLUE PKWY",
"address_2": "SUITE 360",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640578312",
"telephone_number": "816-373-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICK",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2010040544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.