Katherine Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2106007 Issued in AR

Practice address

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798

Phone

(501) 891-5495

NPI assigned

May 14, 2014

Last updated

Jun 9, 2021By the provider in NPPES

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 names 1

• Katherine West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatrics Plus Counseling & Diagnostics LLC

  dba Rise Counseling and Diagnostics

  • Adolescent and Children Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1194217703
  NPD
• Life Strategies Counseling, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Pocahontas, AR
  • NPI 1427656099
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1265843106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 105",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231798",
            "telephone_number": "501-891-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1719 Merrill Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722124009",
            "country_code": "US",
            "telephone_number": "501-663-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2106007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WEST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kallie Smith, ATC, LAT
• Karen C Smith
• Karla Jean Smith, MS, PT
• Karmiesha B Smith
• Karri Smith
• Keiara Elon-Ann Smith
• Keri Smith
• Keyera Smith
• Kristy 'Liza' Elizabeth Smith, M.S. OT RL
• Kyla Smith

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.