Katina Smith
Individual provider Active NPI Mental Health Counselor · Hammond, LA
NPI 1245680461 · NPPES record last updated May 13, 2018
Key facts
- NPI
- 1245680461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 208 E Thomas St
Hammond, LA 70401 - Phone
- (985) 956-7823
- NPI assigned
- Jun 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Community Health Systems
Practice addresses (Care Compare)
336 E Railroad Ave
Independence, LA 70443-2710
Phone (225) 306-2067
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250912004428 | LA | Practitioner - Mental Health Counselor | 7012410194 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6023 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Southeast Community Health Systems | Current | Accepting new patients | |
| Southeast Community Health Systems | Current |
Accepting new patients | |
| Cope Behavior Health | Mental Health | Past | Accepting new patients |
Locations
490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059
30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045
6351 Main St
Zachary, LA 70791
Phone (225) 306-2055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
208 E Thomas St
Hammond, LA 70401
Mailing address
42628 Victoria Dr
Hammond, LA 70403-3223
Other providers in Hammond, LA
- Addie Michelle Smith
- Ashley Smith
- Brittany Smith
- Holly C. Smith
- James Charles Smith
- Larry James Smith
- Lauren Rachel Smith
- Maggie Smith
- Misty Smith
- Ora Smith
All providers in Hammond, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.