Melissa Dean Smith, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

252098 Issued in KY

Practice address

8106 Red Stone Hill Rd
Louisville, KY 40214-4614

Phone

(502) 438-6460

Fax

(833) 953-0891

NPI assigned

Jul 25, 2019

Last updated

May 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissasmith@tdh.allscriptsdirect.net

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.

• Life in Motion LLC

  dba Life In Motion

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1376278614
  Medicare reassignment NPD Authorized official
• Life in Motion LLC

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1437791209
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1568016798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 RED STONE HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144614",
            "telephone_number": "502-438-6460",
            "fax_number": "833-953-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 RED STONE HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144614",
            "telephone_number": "502-438-6460",
            "fax_number": "833-953-0891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4613 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402583725",
            "country_code": "US",
            "telephone_number": "502-438-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "DEAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "252098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "252098",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "252098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100638550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markesha Antoinette Smith
• Marla Smith
• Mary Jane Smith, ARNP
• Maryl Smith, APRN
• Melinda Smith, COTA/L
• Michael Elijah Smith
• Michael Joseph Smith, MD
• Michelle Vogt Smith, MS, OTR/L
• Montray Smith
• Nicole Ranae Adrian Smith, APRN

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.