Individual provider Active NPI

Sara Smith

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1306572839
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88477 Issued in TX
Practice address
3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone
(903) 200-1433
NPI assigned
Jul 27, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88477 TX Primary

Addresses

Primary practice location

3118 H G Mosley Pkwy
Longview, TX 75605-2941

Mailing address

3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 200-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024002251 TX Practitioner - Mental Health Counselor 4284122706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1011 College Ave
Jacksonville, TX 75766-3307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88477TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Cherokee Community Enrichment Services CurrentSince Sep 1, 2025 Accepting new patients
Counseling Services, PLLC Professional CurrentSince Aug 19, 2025 Accepting new patients
Kranz Psychological Services, PLLC Professional CurrentSince Jul 31, 2022 Accepting new patients
Anderson Cherokee Community Enrichment Services Professional Current Accepting new patients

Locations

1011 College Ave
Jacksonville, TX 75766
Phone (903) 541-2577

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

3320 S Loop 256
Palestine, TX 75801
Phone (903) 723-6136

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306572839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.