Individual provider Active NPI

Cressan Smith, MS, LPC

  • Professional Counselor
  • Mesquite, TX
National Provider Identifier
1396176350
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67923 Issued in TX
Practice address
18601 Lyndon B Johnson Fwy
Suite 711
Mesquite, TX 75150-5600
Phone
(214) 679-1233
Fax
(972) 613-6475
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67923 TX Primary

Addresses

Primary practice location

18601 Lyndon B Johnson Fwy
Suite 711
Mesquite, TX 75150-5600

Mailing address

18601 LBJ Fwy
Suite 711
Mesquite, TX 75150-5600
Phone (214) 679-1233

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
67923TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1396176350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY",
            "address_2": "SUITE 711",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "214-679-1233",
            "fax_number": "972-613-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 711",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "214-679-1233",
            "fax_number": "972-613-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRESSAN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.