Individual provider Active NPI

Maura Mitchell Smith, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbia, LA
National Provider Identifier
1558146415
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8495 Issued in LA
Practice address
7720 Highway 165 Ste 1
Columbia, LA 71418-5348
Phone
(318) 936-2004
Fax
(318) 965-7434
NPI assigned
Aug 29, 2023
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8495 LA Primary

Addresses

Primary practice location

7720 Highway 165 Ste 1
Columbia, LA 71418-5348

Mailing address

7720 Highway 165 Ste 1
Columbia, LA 71418-5348
Phone (318) 936-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223003744 LA Practitioner - Qualified Speech Language Pathologist 1557706009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warner Therapy ServicesGroup PAC ID 6608298807, 7 clinicians

Practice addresses (Care Compare)

7720 Hwy 165
Suite 1
Columbia, LA 71418-5348
Phone (318) 936-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8495LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Warner Therapy Services Speech-Language Pathologist CurrentSince Feb 13, 2024 Accepting new patients

Locations

7720 Highway 165
Ste 1
Columbia, LA 71418
Phone (318) 936-2004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1558146415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 HIGHWAY 165 STE 1",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714185348",
            "telephone_number": "318-936-2004",
            "fax_number": "318-965-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 HIGHWAY 165 STE 1",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714185348",
            "telephone_number": "318-936-2004",
            "fax_number": "318-965-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAURA",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.