Larry Joseph Smith Jr., NBCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

827 Old Spanish TRL
Bay St Louis, MS 39520-2204

Phone

(228) 467-8203

Fax

(228) 467-8203

NPI assigned

Oct 20, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1275905051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 OLD SPANISH TRL",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202204",
            "telephone_number": "228-467-8203",
            "fax_number": "228-467-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 OLD SPANISH TRL",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202204",
            "telephone_number": "228-467-8203",
            "fax_number": "228-467-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NBCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.