Alyssa Joy Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

6612 NW 42ND St
Bethany, OK 73008-2764

Phone

(405) 717-6200

NPI assigned

Oct 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Southern Nazarene University

  • Mental Health Counselor
  • Bethany, OK
  • NPI 1871069245
  NPD

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1366040149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N REDMOND AVE APT 1",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082809",
            "telephone_number": "918-260-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 NW 42ND ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082764",
            "telephone_number": "405-717-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "6612 NW 42nd St",
            "city": "Bethany",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730082764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy D Siegle
• Brent D Siemens, DC
• Elizabeth Sill, FNP-C
• Terri S Simmons, COTA/L
• Skinner Pharmacies Inc
• Lauren Snolis, DPT
• Michelle Renee Solis
• Sonray Hearing Aid Center LLC
• Southern Nazarene University
• Thelisa A Sparks

• Professional Counselor in Bethany, OK
• Providers in Bethany, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.