Holly Alise Smith, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11529 Issued in FL

Practice address

432 Sand Ridge Dr
Valrico, FL 33594-4057

Phone

(407) 718-0957

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1609161884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SAND RIDGE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944057",
            "telephone_number": "407-718-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SAND RIDGE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944057",
            "telephone_number": "407-718-0957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Town Plaza Ct",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327086216",
            "country_code": "US",
            "telephone_number": "407-399-6305",
            "fax_number": "407-695-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLY",
        "middle_name": "ALISE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8409",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanta Simpson
• Baylee Marie Skjefte, COTA/L
• Lily Sledge, MS OTR/L
• Smart Counseling and Art Therapy, LLC
• Eric Michael Smith, PT
• Bethany Sodergren, OTR/L
• Southern Eye Care Associates, LLC
• Madison Southworth, RDN
• Spectrum Behavioral Solutions of Tampa
• Bethany Ann Spencer, M.A., CCC-SLP

• Mental Health Counselor in Valrico, FL
• Providers in Valrico, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.