Shirley L Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69605 Issued in TX

Practice address

333 S Cherry St
Tomball, TX 77375-6614

Phone

(281) 357-0074

Fax

(281) 516-1526

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Champions Christian Counseling Center L.L.C

  • Professional Counselor
  • Tomball, TX
  • NPI 1952519332
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1477762136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S CHERRY ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756614",
            "telephone_number": "281-357-0074",
            "fax_number": "281-516-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S CHERRY ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756614",
            "telephone_number": "281-357-0074",
            "fax_number": "281-516-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHIRLEY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Slane, LPC
• Kaitlynn Smallwood
• Claire Fassett Smith
• Darby Smith
• Jeffrey Kevin Smith, MD
• Stephanie Smith
• Stephanie Anne Smith, MA LPC
• Tinsley Gordon Smith, MD
• Alicia Carleen Snow, PH.D.
• Amanbir Singh Sohal, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.