Active NPI
Kimberly Joy Smith, LPC
- Professional Counselor
- Creve Coeur, MO
National Provider Identifier
1538596382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013035384
- Practice address
- 618 N New Ballas Rd Apt 408
Creve Coeur, MO 63141-6767 - Phone
- (314) 661-1313
- NPI assigned
- Oct 10, 2013
- 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 | 2013035384 | MO | Primary |
Addresses
Primary practice location
618 N New Ballas Rd Apt 408
Creve Coeur, MO 63141-6767
Mailing address
618 N New Ballas Rd Apt 408
Creve Coeur, MO 63141-6767
Phone (314) 661-1313
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013035384 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1538596382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 N NEW BALLAS RD APT 408",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416767",
"telephone_number": "314-661-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 N NEW BALLAS RD APT 408",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416767",
"telephone_number": "314-661-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "JOY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-10",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2013035384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.