Tracy H Smith, LPC INTERN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69707 Issued in TX

Practice address

1701 N Collins Blvd
Suite 120
Richardson, TX 75080-3564

Phone

(972) 680-8986

Fax

(972) 680-9126

NPI assigned

Jul 11, 2016

Last updated

Jul 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1447602727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD",
            "address_2": "SUITE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803564",
            "telephone_number": "972-680-8986",
            "fax_number": "972-680-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD",
            "address_2": "SUITE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803564",
            "telephone_number": "972-680-8986",
            "fax_number": "972-680-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LPC INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69707",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryleigh Smith, RBT
• Scott Edwards Smith, D.P.M.
• Shannon Smith
• Shellece Smith, FNP
• Suzy Roberts Smith
• Douglas Bryan Smock, RPH
• Langford Houston Sneed
• Susan Snow, M.D.
• Peter Sok
• Solace Palliative and Hospice Care Inc

• Professional Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.