Lana J Smith, LMPT QMHP
Individual provider Active NPI Marriage & Family Therapist · Sioux Falls, SD
NPI 1295949147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295949147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT1191 (SD)
- Practice address
- 2701 S Minnesota
Long Smith Therapy Destiny Clinic Suite 3
Sioux Falls, SD 57105 - Phone
- (605) 359-6290
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111004774 | SD | Practitioner - Marriage and Family Therapist | 7214388495 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients |
Locations
3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408
Interoperability endpoints
- lana.smith@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT1191 | SD | Yes |
Addresses
Primary practice location
2701 S Minnesota
Long Smith Therapy Destiny Clinic Suite 3
Sioux Falls, SD 57105
Mailing address
2704 S Elmwood Ave
Sioux Falls, SD 57105
Phone (605) 359-6290
Other providers in Sioux Falls, SD
- Katie Smith
- Kelli Marie Smith
- Kenneth C Smith
- Kevin Smith
- Kristine Carol Smith
- Leslie Elizabeth Smith
- Makenzie Ruthann Smith
- Margaret A Smith
- Mary Ellen Smith
- Melissa Ann Smith
All providers in Sioux Falls, SD · Marriage & Family Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.