Active NPI
Chelsey Laray Smith, LCP
- Mental Health Counselor
- Meridian, ID
National Provider Identifier
1265730980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-10620
- Practice address
- 690 S Industry Way Ste 45
Meridian, ID 83642-7907 - Phone
- (208) 922-2207
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- 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 | LPC-10620 | ID | Primary |
Addresses
Primary practice location
690 S Industry Way Ste 45
Meridian, ID 83642-7907
Mailing address
690 S Industry Way Ste 45
Meridian, ID 83642-7907
Phone (208) 922-2207
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 |
|---|---|---|---|
| LPC-10620 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Family Services Inc | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Meridian, ID
- NPI 1891888459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1265730980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S INDUSTRY WAY STE 45",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427907",
"telephone_number": "208-922-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S INDUSTRY WAY STE 45",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427907",
"telephone_number": "208-922-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHELSEY",
"middle_name": "LARAY",
"credential": "LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2024-06-06",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-10620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.