Active NPI
Richard D. Smith, M. ED., LPC, NCC
- Professional Counselor
- Edmond, OK
National Provider Identifier
1275629057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2879
- Practice address
- 500 NW 159TH
Edmond, OK 73013 - Phone
- (405) 341-2725
- Fax
- (405) 341-2725
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2879 | OK | Primary |
Addresses
Primary practice location
500 NW 159TH
Edmond, OK 73013
Mailing address
500 NW 159TH
Edmond, OK 73013
Phone (405) 341-2725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2879 | Other | OK | LPC LICENSE NO. |
| 86326 | Other | NC | NATL CERT COUNS NO. |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2879 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275629057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NW 159TH",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-341-2725",
"fax_number": "405-341-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NW 159TH",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-341-2725",
"fax_number": "405-341-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICHARD",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "M. ED., LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE NO.",
"identifier": "2879",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATL CERT COUNS NO.",
"identifier": "86326",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.