Marilee Peggy Smith, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

353 Issued in MT

Legal business name

MARILEE PEGGY SMITH, LCPC

Practice address

7 West 11TH
Red Lodge, MT 59068-1311

Phone

(406) 860-6481

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marilee D. Smith, LCPC

Title

Owner

Phone

(406) 860-6481

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Threshold Group Other name

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396805404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590681311",
            "telephone_number": "406-860-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEST 11TH",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590681311",
            "telephone_number": "406-860-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILEE PEGGY SMITH, LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-860-6481",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MT",
            "identifier": "74891",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251589",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Threshold Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Red Lodge, MT
• Providers in Red Lodge, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.