Individual provider Active NPI

Shera Lynn Smith, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1770899080
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4584 Issued in CO
Practice address
1301 S 8TH St Ste 115
Colorado Springs, CO 80905-7328
Phone
(719) 287-0147
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6223 CO
Mental Health Counselor 101YM0800X 4584 CO Primary

Addresses

Primary practice location

1301 S 8TH St Ste 115
Colorado Springs, CO 80905-7328

Mailing address

1301 S 8TH St Ste 115
Colorado Springs, CO 80905-7328
Phone (719) 287-0147

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
6223COMDAddiction (Substance Use Disorder) Counselor
4584COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hinds' Feet Adventures Addiction (Substance Use Disorder) Current Accepting new patients
Hinds' Feet Adventures Mental Health Current Accepting new patients

Locations

1301 S 8th St
Ste 115
Colorado Springs, CO 80905
Phone (719) 287-0147

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1770899080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST STE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057328",
            "telephone_number": "719-287-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST STE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057328",
            "telephone_number": "719-287-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6223",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.