Faith Anna Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.018855 Issued in IL

Practice address

404 S Scott Ave
Newton, IL 62448-1656

Phone

(618) 783-3744

NPI assigned

Jan 24, 2023

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Worthy Life Wellness, PLLC

  • Professional Counselor
  • Mount Vernon, IL
  • NPI 1346717147
  NPD (past)

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1548976558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SCOTT AVE",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S SCOTT AVE",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481656",
            "telephone_number": "618-783-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4206 Williamson Pl Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646761",
            "country_code": "US",
            "telephone_number": "618-316-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 S Banker St",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012943",
            "country_code": "US",
            "telephone_number": "217-342-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FAITH",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.018304",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fannie Scott
• Kelsey Ann Scott, MS,CCC-SLP/L
• Julie Janeen Short, LCSW
• Bridgett Simmons, APN
• Emily Marie Smith, MS, LCPC, NCC, CCTP
• Holly Smith, RBT
• Lori Smith
• South Eastern Illinois Counseling Center Inc
• Springfield Clinic LLP (Springfield Clinic Rural Health Newton)
• Springfield Clinic LLP (Springfield Clinic Newton Lab)

• Professional Counselor in Newton, IL
• Providers in Newton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.