Rheanon Rene' Smith, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 4616 Issued in ID

Practice address

6933 W Emerald St Ste 100
Boise, ID 83704-8616

Phone

(208) 321-0634

NPI assigned

Jul 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1396023065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048616",
            "telephone_number": "208-321-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 W EMERALD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048616",
            "telephone_number": "208-321-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RHEANON",
        "middle_name": "RENE'",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC5443",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC 4616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265565477",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396023065",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Smith
• Memry Smith, LPC, NCC
• Michael E Smith, DMD
• Rachel Kathleen Smith
• Rebecca J Smith, PHARM.D.
• Robert F Smith, MD
• Rusty Smith, PSYD
• Samantha Jo Smith, PA-C
• Samuel G. Smith, D.M.D.,M.S.
• Sara Jean Smith, NP-BC

• Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.