Leah Gibson-Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3160 Issued in LA

Practice address

1003 S Spruce St
Vivian, LA 71082-3200

Phone

(318) 375-3239

Fax

(318) 375-2755

NPI assigned

May 27, 2015

Last updated

May 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684
  Medicare reassignment NPD
• North Caddo Hospital Service District

  dba NCMC Medical & Surgical Clinic

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866
  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1326427048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 S SPRUCE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823200",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S SPRUCE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823200",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON-SMITH",
        "first_name": "LEAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3160",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Dillard
• Kelli Dominick, M.ED., LD, RD, CDE
• Don Addie Caddo Optical (Caddo Optical)
• Olivia M Edwards
• Natarran C Evans
• Patrick Gladney, MASTER
• Constance La'Shay Hall, COTA
• Tunisia Hampton, MASTERS
• Russell B Hennessey
• Chase Alexander Herrera, DO

• Professional Counselor in Vivian, LA
• Providers in Vivian, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.