Active NPI
Holly Smith, LMFT
- Marriage & Family Therapist
- Ottawa, KS
National Provider Identifier
1447770284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2855
- Practice address
- 2537 Eisenhower Rd
Ottawa, KS 66067 - Phone
- (785) 242-3780
- Fax
- (785) 242-6397
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2855 | KS | Primary |
Addresses
Primary practice location
2537 Eisenhower Rd
Ottawa, KS 66067
Mailing address
15446 S Bradley Dr
Olathe, KS 66062-7013
Other practice location 1
110 E Poplar St
Olathe, KS 66061-3306
Phone (913) 397-6666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2855 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Penrod Ma LCPC LLC | Past | Accepting new patients | |
| Elizabeth Layton Center, Inc. | Past | Accepting new patients | |
| Elizabeth Layton Center, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ottawa, KS
- NPI 1649296757
-
- Community/Behavioral Health Agency
- Ottawa, KS
- NPI 1972209732
-
- Community/Behavioral Health Agency
- Olathe, KS
- NPI 1982976528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1447770284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15446 S BRADLEY DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660627013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2537 EISENHOWER RD",
"city": "OTTAWA",
"state": "KS",
"postal_code": "66067",
"telephone_number": "785-242-3780",
"fax_number": "785-242-6397"
}
],
"practiceLocations": [
{
"address_1": "110 E Poplar St",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "KS",
"postal_code": "660613306",
"country_code": "US",
"telephone_number": "913-397-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "HOLLY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "2855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.