Active NPI
Kasey Smith, MA, LPC
- Professional Counselor
- Johnson City, TX
National Provider Identifier
1447860192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66612
- Practice address
- 2349 Ranch Road 1323
Johnson City, TX 78636-4787 - Phone
- (830) 225-0092
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 66612 | TX | Primary |
Addresses
Primary practice location
2349 Ranch Road 1323
Johnson City, TX 78636-4787
Mailing address
PO Box 2012
Johnson City, TX 78636-2001
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66612 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1447860192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2012",
"city": "JOHNSON CITY",
"state": "TX",
"postal_code": "786362001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 RANCH ROAD 1323",
"city": "JOHNSON CITY",
"state": "TX",
"postal_code": "786364787",
"telephone_number": "830-225-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KASEY",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TX
- North Blanco County Emergency Medical Services, Inc. (North Blanco County EMS)
- Brandi Phenix, MS, CCC-SLP
- R. L. Toms, Inc. (LBJ Medical Center)
- Scott & White Hospital - Marble Falls (Baylor Scott & White Clinic - Johnson City)
- Dan G. Severa, M.D.
- Txex Med LLC (Johnson City Pharmacy)
- John Dudley Weaver, MD
- David Allan White, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.