Individual provider Active NPI

James Larry Smith, M.S., L.P.

  • Counseling Psychologist
  • Rochester, MN
National Provider Identifier
1467540088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
MN LP 0653 Issued in MN
Practice address
724 First Ave. SW, Ste 2
Rochester, MN 55902-3356
Phone
(507) 252-5497
Fax
(507) 252-5497
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X MN LP 0653 MN Primary

Addresses

Primary practice location

724 First Ave. SW, Ste 2
Rochester, MN 55902-3356

Mailing address

732 37TH St SW
Rochester, MN 55902-1282
Phone (507) 288-7958

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 Science

State licenses

LicenseStateTypeSpecialty
MN LP 0653MNMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467540088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 37TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021282",
            "telephone_number": "507-288-7958",
            "fax_number": "507-252-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 FIRST AVE. SW, STE 2",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023356",
            "telephone_number": "507-252-5497",
            "fax_number": "507-252-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "MN LP 0653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.