Individual provider Active NPI

Haley M Smith, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1639434855
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC07528 Issued in OK
Practice address
9212 N Kelley Ave
Oklahoma City, OK 73131-2419
Phone
(405) 242-5070
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Professional Counselor 101YP2500X LPC07528 OK Primary
Mental Health Counselor 101YM0800X LPC7528 OK

Addresses

Primary practice location

9212 N Kelley Ave
Oklahoma City, OK 73131-2419

Mailing address

707 W. Comanche St.
Lindsay, OK 73052
Phone (405) 850-6066

Other practice location 1

707 W. comanche St.
Lindsay, OK 73052
Phone (405) 756-1340

Other practice location 2

110 S 5th St Ste 170
Yukon, OK 73099-2658
Phone (405) 571-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC7528OKMDMental Health Counselor
LPC07528OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Associates, LLC CurrentSince Jun 23, 2024 Accepting new patients
Perspective Counseling Group, LLC Mental Health CurrentSince Jan 19, 2025 Accepting new patients

Locations

9212 N Kelley Ave
Oklahoma City, OK 73131
Phone (405) 242-5070

9212 N Kelley Ave
#200
Oklahoma City, OK 73131
Phone (405) 242-5070

110 S 5th St
Ste 170
Yukon, OK 73099
Phone (405) 571-2100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1639434855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W. COMANCHE ST.",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "73052",
            "telephone_number": "405-850-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 N KELLEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312419",
            "telephone_number": "405-242-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 W. comanche St.",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "OK",
            "postal_code": "73052",
            "country_code": "US",
            "telephone_number": "405-756-1340",
            "fax_number": "405-293-8651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S 5th St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730992658",
            "country_code": "US",
            "telephone_number": "405-571-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HALEY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC07528",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPC7528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.