Active NPI
Amy Renee Smith, LPC, LCMHCS, CCS
- Professional Counselor
- Texas City, TX
National Provider Identifier
1487966776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83267
- Practice address
- 10000 Emmett F Lowry Expy Ste 1220
Texas City, TX 77591-2129 - Phone
- (409) 763-2373
- NPI assigned
- Jul 2, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1954 | NC | |
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 83267 | TX | Primary |
Addresses
Primary practice location
10000 Emmett F Lowry Expy Ste 1220
Texas City, TX 77591-2129
Mailing address
2122 Casa Rio Cir # A7
Dickinson, TX 77539-6725
Phone (832) 658-9733
Other practice location 1
356 Biltmore Ave Ste 200
Asheville, NC 28801-4558
Phone (828) 254-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104529 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1954 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1487966776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 CASA RIO CIR # A7",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775396725",
"telephone_number": "832-658-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 EMMETT F LOWRY EXPY STE 1220",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912129",
"telephone_number": "409-763-2373"
}
],
"practiceLocations": [
{
"address_1": "356 Biltmore Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014558",
"country_code": "US",
"telephone_number": "828-254-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "AMY",
"middle_name": "RENEE",
"credential": "LPC, LCMHCS, CCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1954",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104529",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.