Rayland L Smith, LPC, BC-TMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0011961 Issued in CO

Practice address

24600 County Road 21
La Junta, CO 81050-9765

Phone

(719) 469-2670

NPI assigned

Oct 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ark Valley Counseling and Supervision Services, LLCGroup PAC ID 9133564743, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Ark Valley Counseling & Supervision Services, LLC

  • Professional Counselor
  • La Junta, CO
  • NPI 1053187468
  Medicare reassignment Care Compare group NPD Authorized official
• Ark Valley Counseling & Supervision Services, LLC

  • Professional Counselor
  • La Junta, CO
  • NPI 1053187963
  NPD Authorized official
• Ark Valley Counseling & Supervision Services, LLC

  • Professional Counselor
  • Las Animas, CO
  • NPI 1871369785
  NPD (past) Authorized official

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1255615480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 COUNTY ROAD 21",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810509765",
            "telephone_number": "719-469-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 COUNTY ROAD 21",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810509765",
            "telephone_number": "719-469-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W 3rd St Ste 203",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810501401",
            "country_code": "US",
            "telephone_number": "719-469-2670 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Carson Ave",
            "address_purpose": "LOCATION",
            "city": "Las Animas",
            "state": "CO",
            "postal_code": "810541732",
            "country_code": "US",
            "telephone_number": "719-469-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYLAND",
        "middle_name": "L",
        "credential": "LPC, BC-TMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Randall Shulusky, PHARMD
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• Single Point Services, Inc.
• Louisa Jeanette Sisnroy, ARNP
• Kendra Smith
• Jody Elizabeth Sniff, LPC
• Kimberly Dawn Snyder, LPC
• Jose Soto
• Southeast Mental Health Services
• Southeast Mental Health Services

• Professional Counselor in La Junta, CO
• Providers in La Junta, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.