Individual provider Active NPI

William Smith, LMFT

  • Marriage & Family Therapist
  • Show Low, AZ
National Provider Identifier
1659411668
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
15131 Issued in AZ
Practice address
2650 E Show Low Lake Rd Ste 1
Show Low, AZ 85901-7955
Phone
(928) 537-4300
Fax
(928) 532-6901
NPI assigned
Feb 7, 2007
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 15131 AZ Primary
Marriage & Family Therapist 106H00000X 98 NH

Addresses

Primary practice location

2650 E Show Low Lake Rd Ste 1
Show Low, AZ 85901-7955

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9400

Other practice location 1

10 Members Way Ste 203
Dover, NH 03820-5933
Phone (603) 742-3174

Other practice location 2

10 Members Way Ste 201
Dover, NH 03820-5933
Phone (603) 742-2263

Other identifiers 1

IdentifierTypeStateIssuer
7706655Y0NH01OtherNHBHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109000519 NH Practitioner - Marriage and Family Therapist 2163873787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Members Way
203 Dover Family Practice
Dover, NH 03820-5933
Phone (603) 742-3174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15131AZMDMarriage & Family Therapist
98NHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Hill Behavioral Health and Consultation Services Marriage & Family Therapist Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 1, 2024 Accepting new patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 1, 2024 Accepting new patients
Seacoast Mental Health Center, Inc. Past Accepting new patients

Locations

10 Members Way
Ste 201
Dover, NH 03820
Phone (603) 205-2823

10 Members Way
Ste 203
Dover, NH 03820
Phone (603) 742-3174

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Interoperability endpoints

  • Direct secure messaging: smith.william.wdh@direct.partners.masshiway.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1659411668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630",
            "telephone_number": "928-522-9400",
            "fax_number": "928-774-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E SHOW LOW LAKE RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017955",
            "telephone_number": "928-537-4300",
            "fax_number": "928-532-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Members Way Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-742-3174",
            "fax_number": "603-742-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Members Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-742-2263",
            "fax_number": "603-740-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "15131",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "98",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHN",
            "identifier": "7706655Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.