Peter Smith, M.ED., LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9265 Issued in TX

Practice address

896 Robin Ranch Rd
Lockhart, TX 78644-4578

Phone

(512) 376-2101

Fax

(512) 398-5696

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Education

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.

• Hospital Internists of Texas, LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1912430281
  NPD (past)
• Pegasus Schools, Inc

  • Professional Counselor
  • Lockhart, TX
  • NPI 1316091200
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1568695500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786440577",
            "telephone_number": "512-376-2101",
            "fax_number": "512-398-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 ROBIN RANCH RD",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786444578",
            "telephone_number": "512-376-2101",
            "fax_number": "512-398-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "credential": "M.ED., LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDSHS CHEMICAL DEPENDENCY COUNELSOR",
            "identifier": "9265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apryl Nicole Santana, LPC
• Savannah Medical, LLC (Savannah Medical Supply)
• Pamee Shah, DDS
• Claudia Chastant Shroyer, LPC
• Haley Lane Simmons
• Soluna Counseling and Trauma Specialist, PLLC
• St. Peters, PLLC
• Patricia Ann Storey, MSN, RN
• Jessica Nianci Sun, DMD
• Ranelle Edith Sutton, LCSW

• Addiction (Substance Use Disorder) Counselor in Lockhart, TX
• Providers in Lockhart, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.