Individual provider Active NPI

Karen Jacquelyn Smith, LPC, LMFT, NCC

  • Marriage & Family Therapist
  • Arlington, VA
National Provider Identifier
1306170139
Registry record updated Sep 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000907 Issued in VA
Practice address
1600 Wilson Blvd
Suite 702
Arlington, VA 22209-2511
Phone
(703) 247-4327
Fax
(703) 524-7525
NPI assigned
Sep 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002162 VA
Marriage & Family Therapist 106H00000X 0717000907 VA Primary

Addresses

Primary practice location

1600 Wilson Blvd
Suite 702
Arlington, VA 22209-2511

Mailing address

1600 Wilson Blvd
Suite 702
Arlington, VA 22209-2511
Phone (703) 247-4327

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

State licenses

LicenseStateTypeSpecialty
0701002162VAMDProfessional Counselor
0717000907VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253923200000",
    "number": "1306170139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WILSON BLVD",
            "address_2": "SUITE 702",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092511",
            "telephone_number": "703-247-4327",
            "fax_number": "703-524-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WILSON BLVD",
            "address_2": "SUITE 702",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092511",
            "telephone_number": "703-247-4327",
            "fax_number": "703-524-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "LPC, LMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-26",
        "last_updated": "2009-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002162",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; 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.