Phillip Smith, LPC, RASAC II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009038191 Issued in MO

Practice address

2900 Tracy Ave
Kansas City, MO 64109-1529

Phone

(816) 753-4011

NPI assigned

Mar 1, 2011

Sex

Male

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

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diakonos IncGroup PAC ID 1658323209, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Diakonos Inc

  dba Diakonos Counseling

  • Mental Health Counselor
  • Independence, MO
  • NPI 1164458931

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1699073510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091529",
            "telephone_number": "816-753-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091529",
            "telephone_number": "816-753-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "credential": "LPC, RASAC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009038191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gardner Smith, M.D.
• Michael W Smith
• Misty M Smith, FNP-C
• Monica Marie Smith, LPN
• Nicholas James Smith, FNP
• Raphael G Smith, PSY D, HSPP
• Reid Conlee Smith, MD
• Rhonda Laurine Smith, DC
• Rikki Nicole Smith, RN
• Ryan Philip Smith, PA-C

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.

Verify at the official NPI Registry.