NPIMap

Individual provider Active NPI

Vicky Kate Smith

  • Mental Health Counselor
  • Nixa, MO
National Provider Identifier
1427248582
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2007021192 Issued in MO
Practice address
380 E State Highway CC
Ste. a-105
Nixa, MO 65714-7337
Phone
(417) 725-8810
Fax
(417) 725-6206
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2007021192 MO Primary

Addresses

Primary practice location

380 E State Highway CC
Ste. a-105
Nixa, MO 65714-7337

Mailing address

380 E State Highway CC
Ste. a-105
Nixa, MO 65714-7337
Phone (417) 725-8810

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
2007021192MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CC Counseling Services,LLC Past Accepting new patients
Barbara K. Hylton Past 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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1427248582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E STATE HIGHWAY CC",
            "address_2": "STE. A-105",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147337",
            "telephone_number": "417-725-8810",
            "fax_number": "417-725-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E STATE HIGHWAY CC",
            "address_2": "STE. A-105",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147337",
            "telephone_number": "417-725-8810",
            "fax_number": "417-725-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VICKY",
        "middle_name": "KATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2007021192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.