Carolyn Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68290 Issued in TX

Practice address

1214 N Post Oak Rd Ste 100
Houston, TX 77055-7236

Phone

(713) 686-9194

Fax

(713) 686-9413

NPI assigned

Feb 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Deblin Health Concepts & Associates, LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1063492320
  Medicare reassignment NPD
• Wellspring Family & Community Institute, LLC

  • Professional Counselor
  • Houston, TX
  • NPI 1902243256

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1730503186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "77545",
            "telephone_number": "281-757-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N POST OAK RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557236",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23622 Rustic Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773737982",
            "country_code": "US",
            "telephone_number": "281-757-2871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2012 NW Military Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132130",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Spicewood Springs Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598600",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68290",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730503186",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candy L. Smith, PHD
• Carl Anthony Smith, RPH
• Carlton Smith, MD
• Carol Ann Smith, CRNA
• Carole Smith
• Catherine Smith, PA-C
• Catherine V Smith, CRNA
• Cedrick Smith, MD
• Chance Rion Smith, DPM
• Chantel Smith, LPC

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.