Smith Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SMITH COUNSELING SERVICES, LLC

Practice address

128 Plaza Cir
Waterloo, IA 50701-5139

Phone

(319) 774-3081

NPI assigned

Nov 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelli Smith, LISWNPI 1104266014

Title

Therapist/Owner

Phone

(319) 575-0523

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Jean Smith, LISW

  • Clinical Social Worker
  • Waterloo, IA
  • NPI 1104266014
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1285344598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PLAZA CIR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139",
            "telephone_number": "319-774-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PLAZA CIR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139",
            "telephone_number": "319-774-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "319-575-0523",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ksmith@smithcounselingservices.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "128 Plaza Cir",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507015139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole D Slater, ARNP
• Michael J Slavin, DO
• Jamie Allen Sledd, PT
• Angela Slickers, R.PH.
• Heather Slifka, ARNP
• Aryana Patricia Smith
• Ethan J Smith, DDS
• Gregory James Smith, AU.D.
• Jeffrey Smith, DDS
• Jeffrey Scott Smith

• Clinical Social Worker in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.