Shelby Denise Smith, MS, LPC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

605 W Oxford Ave
Enid, OK 73701-1208

Phone

(580) 233-7220

NPI assigned

Sep 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1639720287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OXFORD AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011208",
            "telephone_number": "580-233-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W OXFORD AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011208",
            "telephone_number": "580-233-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELBY",
        "middle_name": "DENISE",
        "credential": "MS, LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477600927",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmith@yfsenid.org",
            "affiliation": "N",
            "address_1": "605 W Oxford Ave",
            "city": "Enid",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737011208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Smith, PT
• Mindy Ann Smith, LPN
• Nancy Kathleen Smith, M.ED. CCC-SLP
• Ryan Christopher Smith, H.I.S.
• Samantha Marie Smith
• Sierra Hope Smith
• Jennifer Smithson
• Malerie Brianne Snapp
• Joe Edward Snodgrass, MD
• Krystabel Annette Snodgrass, CNP

• All providers in Enid, OK
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.