Individual provider Active NPI

Darionne Amber Smith, LCPC

  • Professional Counselor
  • O Fallon, IL
National Provider Identifier
1235827965
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015825 Issued in IL
Practice address
1710 Corporate Xing Ste 4
O Fallon, IL 62269-3741
Phone
(618) 226-5155
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178017889 IL
Professional Counselor 101YP2500X 180.015825 IL Primary

Addresses

Primary practice location

1710 Corporate Xing Ste 4
O Fallon, IL 62269-3741

Mailing address

8441 Treybrooke PL
O Fallon, IL 62269-4132
Phone (618) 972-1568

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

LicenseStateTypeSpecialty
178017889ILMDMental Health Counselor
180.015825ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza and Healing Counseling PLLC Mental Health CurrentSince Apr 9, 2024 Accepting new patients

Locations

7 Eagle Ctr
Ste 1
O Fallon, IL 62269

1710 Corporate Xing
Ste 4
O Fallon, IL 62269
Phone (314) 626-3078

Organizations & group practices 1

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1235827965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 TREYBROOKE PL",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622694132",
            "telephone_number": "618-972-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CORPORATE XING STE 4",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693741",
            "telephone_number": "618-226-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARIONNE",
        "middle_name": "AMBER",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178017889",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.