Individual provider Active NPI

Lisa Ann Smith, IAADC, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Clinton, IA
National Provider Identifier
1770258022
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
20089 Issued in IA
Practice address
132 6TH Ave S Ste 1
Clinton, IA 52732-4103
Phone
(563) 271-6835
NPI assigned
Aug 10, 2021
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20089 IA Primary

Addresses

Primary practice location

132 6TH Ave S Ste 1
Clinton, IA 52732-4103

Mailing address

132 6TH Ave S Ste 1
Clinton, IA 52732-4103
Phone (563) 271-6835

Other practice location 1

3906 Lillie Ave Ste 2
Davenport, IA 52806-4433
Phone (563) 271-6835

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
TCADCIAMDAddiction (Substance Use Disorder) Counselor
20089IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith and Sahota LLC Addiction (Substance Use Disorder) CurrentSince Jan 26, 2025 Accepting new patients
Life Connection, L.C. PastSince Aug 1, 2021 Accepting new patients

Locations

132 6th Ave S
Ste 1
Clinton, IA 52732
Phone (563) 271-6835

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, 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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1770258022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 6TH AVE S STE 1",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324103",
            "telephone_number": "563-271-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 6TH AVE S STE 1",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324103",
            "telephone_number": "563-271-6835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3906 Lillie Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528064433",
            "country_code": "US",
            "telephone_number": "563-271-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "IAADC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "20089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.