Shayna Smith, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000253A Issued in IN

Practice address

990 Illinois St
Plymouth, IN 46563-3622

Phone

(574) 936-9646

Fax

(574) 935-4773

NPI assigned

Dec 30, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1639614506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880",
            "telephone_number": "574-267-7169",
            "fax_number": "574-269-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ILLINOIS ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465633622",
            "telephone_number": "574-936-9646",
            "fax_number": "574-935-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAYNA",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000253A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allasyn Slater
• Dakotah Smith-Shepherd
• Hannah Smith
• Kayla Smith, FNP-BC
• Shalie Smith
• Snert, Inc.
• Margaret Tunnicliffe Snyder, PSYD, HSPP
• Evelyn Sobczak, BCBA
• South Bend Psychiatry LLC
• Specialty Orthopedics Inc

• Mental Health Counselor in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.