Larry Eugene Smith Sr., CADC,ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

46, 13162 Issued in OK

Practice address

32208 S. 620 Rd
Grove, OK 74344

Phone

(918) 787-7769

Fax

(918) 787-7761

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1548469448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451585",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743451585",
            "telephone_number": "918-787-7769",
            "fax_number": "918-787-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32208 S. 620 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "74344",
            "telephone_number": "918-787-7769",
            "fax_number": "918-787-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRY",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CADC,ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "46, 13162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC, ICADC",
            "identifier": "46,13162",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SKM Solutions, Inc.
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• Charles L Smith, DO
• Heath Adam Smith
• John R Smithson Jr., MD
• Renee Snyder
• St Francis House Nwa, Inc
• Marcus Steven Stacy
• James Dale Stafford

• Addiction (Substance Use Disorder) Counselor in Grove, OK
• Providers in Grove, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.