Individual provider Active NPI

Selah Joy Smith, LPCC

  • Mental Health Counselor
  • Saint Louis Park, MN
National Provider Identifier
1558992123
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2956 Issued in MN
Practice address
4601 Excelsior Blvd Ste 335
Saint Louis Park, MN 55416-5228
Phone
(763) 260-4984
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2956 MN Primary

Addresses

Primary practice location

4601 Excelsior Blvd Ste 335
Saint Louis Park, MN 55416-5228

Mailing address

4601 Excelsior Blvd Ste 335
Minneapolis, MN 55416-5228
Phone (918) 408-2687

Other names 1

  • Selah Joy McMath Former name

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

LicenseStateTypeSpecialty
2956MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Lighthouse Therapy, LLC CurrentSince Feb 12, 2023 Accepting new patients

Locations

4601 Excelsior Blvd
Ste 335
St Louis Park, MN 55416
Phone (612) 568-7819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1558992123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 335",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "918-408-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 335",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "763-260-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SELAH",
        "middle_name": "JOY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELAH",
            "last_name": "MCMATH",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.