Individual provider Active NPI

Halee Brianne Smith, LMFT

  • Counselor
  • San Antonio, TX
National Provider Identifier
1780107953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
202377 Issued in TX
Practice address
16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945
Phone
(210) 209-0642
Fax
(855) 357-8282
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 202377 TX Primary

Addresses

Primary practice location

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945

Mailing address

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945
Phone (210) 209-0642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 23, 2024 through Apr 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202377TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling4Life, LLC Single Specialty PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780107953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HALEE",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "202377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.