Mary E. Smith, CMHT, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2100 East Chambers Street
Booneville, MS 38829

Phone

(662) 728-3174

Fax

(662) 286-8095

NPI assigned

Jan 18, 2008

Last updated

Jul 10, 2020By 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 2

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1639355795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350839",
            "telephone_number": "662-286-2152",
            "fax_number": "662-286-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EAST CHAMBERS STREET",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "38829",
            "telephone_number": "662-728-3174",
            "fax_number": "662-286-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "CMHT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF MENTAL HEALTH OF MISSISSIPPI",
            "identifier": "2590",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith Drug & Home Medical, Inc.
• Smith Drug & Home Medical, Inc.
• Smith Drug & Home Medical, Inc.
• Smith Drugs of Booneville LLC (Smith Drugs & Home Medical)
• Amira Rezk Smith, PHARM D
• Shawna Smith, R.N.
• Solstice Home Care LLC
• Lauren Hall Sparks, CFNP
• Warren Blake Spencer
• Joye Hankins Steen, PH.D.

• Mental Health Counselor in Booneville, MS
• Providers in Booneville, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.