Christa Santos-Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-860 Issued in ID

Practice address

845 W Center St
Suite C
Pocatello, ID 83204-4205

Phone

(208) 478-4642

Fax

(208) 232-8001

NPI assigned

Jun 29, 2011

Last updated

Jun 29, 2011By 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 1

Addresses

Other identifiers 1

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.

• Christy Kelshaw

  • Professional Counselor
  • Pocatello, ID
  • NPI 1871654798
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1578850400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 HOMERUN ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832021616",
            "telephone_number": "208-232-9430",
            "fax_number": "208-232-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W CENTER ST",
            "address_2": "SUITE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044205",
            "telephone_number": "208-478-4642",
            "fax_number": "208-232-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-SMITH",
        "first_name": "CHRISTA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF OCCUPATIONAL LICENSES",
            "identifier": "LPC-960",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris A. Sanford, PHD
• Dedra Christine Sanna, LCPC
• Mickie Sant, LSW-24749
• Santa Clara Pediatrics & Behavioral Health PC
• Fernando Santana
• Jeannette M Sapp, LMSW/ CADC
• Caroline Sassetti-Hryczyk, CPNP
• Samuel Saunders, DO
• Teagan Savage
• Clive Saxton

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.