Individual provider Active NPI

Leann Vernice Smith, PH.D, LP

  • Psychologist
  • Houston, TX
National Provider Identifier
1386311454
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38882 Issued in TX
Practice address
12505 Memorial Dr Ste 230
Houston, TX 77024-6051
Phone
(844) 824-8775
NPI assigned
Aug 26, 2021
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 38882 TX Primary

Addresses

Primary practice location

12505 Memorial Dr Ste 230
Houston, TX 77024-6051

Mailing address

12505 Memorial Dr Ste 230
Houston, TX 77024-6051
Phone (844) 824-8775

Other practice location 1

3050 Post Oak Blvd Ste 510-051
Houston, TX 77056-6527
Phone (281) 824-3815

Other practice location 2

6076 W Poly Webb Rd # 6043
Arlington, TX 76016
Phone (817) 533-0825

Other practice location 3

2211 Norfolk St Ste 455
Houston, TX 77098-4119
Phone (832) 974-1176

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
I20211117002201 TX Practitioner - Clinical Psychologist 5991194714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38882TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services, PLLC Psychologist CurrentSince Nov 11, 2021 Accepting new patients
Center for Psychological Services, PLLC CurrentSince Nov 11, 2021 Accepting new patients
Progressive Behavioral Health, PLLC Multi-Specialty CurrentSince Sep 25, 2024 Accepting new patients

Locations

6043 W Interstate 20
Arlington, TX 76017
Phone (817) 533-0825

1307 8th Ave
Ste 310
Ft Worth, TX 76104
Phone (817) 533-0825

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

Organizations & group practices 3

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1386311454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 MEMORIAL DR STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246051",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 MEMORIAL DR STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246051",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Post Oak Blvd Ste 510-051",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770566527",
            "country_code": "US",
            "telephone_number": "281-824-3815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6076 W Poly Webb Rd # 6043",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76016",
            "country_code": "US",
            "telephone_number": "817-533-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Norfolk St Ste 455",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770984119",
            "country_code": "US",
            "telephone_number": "832-974-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEANN",
        "middle_name": "VERNICE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.