Individual provider Active NPI

Larue McNish-Smith, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Southbury, CT
National Provider Identifier
1366805616
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1183 Issued in CT
Practice address
100 Main St N
Suite 725
Southbury, CT 06488-3840
Phone
(203) 681-1212
Fax
(203) 519-7979
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1183 CT Primary

Addresses

Primary practice location

100 Main St N
Suite 725
Southbury, CT 06488-3840

Mailing address

100 Main St N
Suite 725
Southbury, CT 06488-3840
Phone (203) 681-1212

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
1183CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Counseling and Consulting Services, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Wexford Behavioral Health Inc Addiction (Substance Use Disorder) PastSince Oct 2, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1366805616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST N",
            "address_2": "SUITE 725",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883840",
            "telephone_number": "203-681-1212",
            "fax_number": "203-519-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST N",
            "address_2": "SUITE 725",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883840",
            "telephone_number": "203-681-1212",
            "fax_number": "203-519-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNISH-SMITH",
        "first_name": "LARUE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.