Mary Bode-Smith, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2026043465 Issued in MO

Practice address

17844 E 23Rd St S
Independence, MO 64057-1840

Phone

(816) 254-3652

NPI assigned

Aug 29, 2024

Last updated

Sep 10, 2026By the provider in NPPES

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 Science

State licenses

Practice roles

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

• Pediatric Place, LLC

  • Speech-Language Pathologist
  • Clinton, MO
  • NPI 1437819364

  Professional

  NPD (past)

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1639903974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST STE A",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352172",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-254-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Irish Ln",
            "address_purpose": "LOCATION",
            "city": "Knob Noster",
            "state": "MO",
            "postal_code": "653361020",
            "country_code": "US",
            "telephone_number": "660-687-0187",
            "fax_number": "660-687-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODE-SMITH",
        "first_name": "MARY",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2026043465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue River Medical Group, LLC
• Bluebird Home Healthcare LLC (Bluebird Homecare)
• Carol A Blum, M.D.
• Steven Wayne Blum Jr., D.D.S.
• Calie Boberg
• Johnna L Bodenstab, ARNP
• Cassie Jorae Bollinger
• Justine Barye Bolton, PT, DPT, ATC, LAT
• Carrie S Bond, LPC
• Melinda B Bonham, MED, MS, LMFT

• Professional Counselor in Independence, MO
• Providers in Independence, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.