Stacey Ann Spencer Smith, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00010149 Issued in WA

Practice address

5071 E Stellar Way
Port Orchard, WA 98366-8324

Phone

(360) 620-4578

NPI assigned

May 23, 2022

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1265170989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 E STELLAR WAY",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668324",
            "telephone_number": "360-620-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 E STELLAR WAY",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668324",
            "telephone_number": "360-620-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACEY",
        "middle_name": "ANN SPENCER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "00010149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER LICENSURE",
            "identifier": "00010149",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Lauren Smith, EAMP
• Cassidy Rose Smith, BA
• Deborah Smith
• Douglas Smith, DC
• Lizeth Smith
• Brian Alan Smoley, MD, MPH, FAAFP
• Joey L Snoke, MA, CCC-SLP
• Lisa L Snyder
• Kathryn Louise Soderberg, LICSW
• Ashley E Sonju, CDP

• Mental Health Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.