Individual provider Active NPI

Audrey Littrell Smith, EDD

  • Mental Health Counselor
  • Cedar Falls, IA
National Provider Identifier
1710194808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16 Issued in IA
Practice address
324 West 3Rd St
Cedar Falls Counseling Associates
Cedar Falls, IA 50613-2745
Phone
(319) 277-4383
Fax
(319) 268-2207
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16 IA Primary
Mental Health Counselor 101YM0800X 110 IA

Addresses

Primary practice location

324 West 3Rd St
Cedar Falls Counseling Associates
Cedar Falls, IA 50613-2745

Mailing address

501 West First St
Cedar Falls, IA 50613-2613
Phone (319) 277-6862

Other names 1

  • Dr. Audrey Sharon Smith Professional name

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

State licenses

LicenseStateTypeSpecialty
16IAMDMental Health Counselor
110IAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710194808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WEST FIRST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132613",
            "telephone_number": "319-277-6862",
            "fax_number": "319-268-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WEST 3RD ST",
            "address_2": "CEDAR FALLS COUNSELING ASSOCIATES",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132745",
            "telephone_number": "319-277-4383",
            "fax_number": "319-268-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUDREY",
        "middle_name": "LITTRELL",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "16",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SMITH",
            "middle_name": "SHARON",
            "prefix": "DR.",
            "credential": "EDD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.