Active NPI
Tommie J Smith, MS, LPC
- Counselor
- Ardmore, OK
National Provider Identifier
1497825822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- #4003
- Practice address
- 1219 K St NW Ste 2
Ardmore, OK 73401-1801 - Phone
- (580) 798-4523
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | #4003 | OK | Primary |
Addresses
Primary practice location
1219 K St NW Ste 2
Ardmore, OK 73401-1801
Mailing address
PO Box 189
Ardmore, OK 73402-0189
Phone (580) 310-7305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100685660D | Medicaid | OK | |
| 100685660A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #4003 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Pathways Unlimited Inc | Current | Accepting new patients | |
| Lighthouse Behavioral Wellness Centers | Past | Accepting new patients |
Locations
4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791
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.
-
- Community/Behavioral Health Agency
- Ardmore, OK
- NPI 1518997097
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1659328284
-
- Community/Behavioral Health Agency
- Ardmore, OK
- NPI 1225378623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1497825822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734020189",
"telephone_number": "580-310-7305",
"fax_number": "580-319-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 K ST NW STE 2",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011801",
"telephone_number": "580-798-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TOMMIE",
"middle_name": "J",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "#4003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100685660D",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100685660A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.