Active NPI
James Donald Smith, MA, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1659905206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015949
- Practice address
- 3225 Templeton Gap Rd Ste 102
Colorado Springs, CO 80907-8729 - Phone
- (719) 445-9720
- NPI assigned
- Feb 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0015949 | CO | Primary |
Addresses
Primary practice location
3225 Templeton Gap Rd Ste 102
Colorado Springs, CO 80907-8729
Mailing address
3225 Templeton Gap Road Ste 102 Box 12
Colorado Springs, CO 80907
Phone (719) 445-9720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC.0015949 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES, DIVISION OF PROFESSIONS AND OCCUPATI |
Other names 1
- Jim Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0015949 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1659905206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 TEMPLETON GAP ROAD STE 102 BOX 12",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-445-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 TEMPLETON GAP RD STE 102",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809078729",
"telephone_number": "719-445-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "DONALD",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-22",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES, DIVISION OF PROFESSIONS AND OCCUPATI",
"identifier": "LPC.0015949",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "SMITH",
"credential": "MA, LPC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.