Active NPI
William Smith, LMFT
- Marriage & Family Therapist
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 15131
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7706655Y0NH01 | Other | NH | BHN |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15131 | AZ | MD | Marriage & Family Therapist |
| 98 | NH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Hill Behavioral Health and Consultation Services | Marriage & Family Therapist | Current | Accepting new patients |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | 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
- 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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Marriage & Family Therapist
- Nashua, NH
- NPI 1114663408
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
dba The Doorway at WD
- Addiction (Substance Use Disorder) Counselor
- Dover, NH
- NPI 1710504683
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, NH
- NPI 1013092857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.