Individual provider Active NPI

Samantha Codi Smart, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1689384828
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83046 Issued in TX
Practice address
7601 Pirates Dr
Corpus Christi, TX 78414-3304
Phone
(337) 552-1598
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83046 TX Primary

Addresses

Primary practice location

7601 Pirates Dr
Corpus Christi, TX 78414-3304

Mailing address

4646 Corona Dr
Corpus Christi, TX 78411-4320
Phone (361) 302-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83046TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Distinctive Counseling and Consulting PLLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

4646 Corona Dr
Ste 216
Corpus Christi, TX 78411
Phone (361) 547-5541

422 E Avenue B
Robstown, TX 78380
Phone (361) 547-5541

Organizations & group practices 1

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1689384828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114320",
            "telephone_number": "361-302-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PIRATES DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143304",
            "telephone_number": "337-552-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "SAMANTHA",
        "middle_name": "CODI",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.