Heather Smith, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000002036 Issued in TN

Practice address

1420 Neal St Ste 202
Cookeville, TN 38501-4332

Phone

(931) 525-6916

Fax

(931) 525-6970

NPI assigned

Feb 13, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639211626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 S GRUNDY QUARLES HWY",
            "city": "GAINESBORO",
            "state": "TN",
            "postal_code": "385625917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NEAL ST STE 202",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014332",
            "telephone_number": "931-525-6916",
            "fax_number": "931-525-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC-MHSP",
            "identifier": "LPC0000002036",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon L. Smith, DDS
• Clarence William Smith
• Colin Garrett Smith, D.O.
• Dana Michelle Smith
• Eric Smith, PT
• Jennifer Powers Smith, RDN OR RD
• Jorie Smith, RBT
• Julie A Smith, APRN, BC
• Julie Booher Smith, FNP
• Lauren Elizabeth Smith

• Professional Counselor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.