Individual provider Active NPI

Steve B Smith, PH.D.

  • Counseling Psychologist
  • Lexington, KY
National Provider Identifier
1750440749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0559 Issued in KY
Practice address
535 W 2ND St
Suite 207
Lexington, KY 40508-9002
Phone
(859) 255-4864
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 0559 KY Primary

Addresses

Primary practice location

535 W 2ND St
Suite 207
Lexington, KY 40508-9002

Mailing address

3363 Iron Works Rd
Georgetown, KY 40324-9105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20130701000745 KY Practitioner - Clinical Psychologist 4587804240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

535 W 2ND St
Suite 207
Lexington, KY 40508-1268
Phone (859) 338-8720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
559KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom of the Heart, Inc. CurrentSince Feb 6, 2013 Accepting new patients
Wisdom of the Heart, Inc. Counseling Current Accepting new patients

Locations

535 W Second St
Ste 207
Lexington, KY 40508
Phone (859) 255-4864

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750440749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 IRON WORKS RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 2ND ST",
            "address_2": "SUITE 207",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405089002",
            "telephone_number": "859-255-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "0559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.