Active NPI
Alicia Elizabeth Smith
- Professional Counselor
- Moberly, MO
National Provider Identifier
1780191940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2017044078
- Practice address
- 510 S Morley St
Moberly, MO 65270-2123 - Phone
- (660) 269-9577
- Fax
- (660) 269-9578
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2017044078 | MO | Primary |
Addresses
Primary practice location
510 S Morley St
Moberly, MO 65270-2123
Mailing address
510 S Morley St
Moberly, MO 65270-2123
Phone (660) 269-9577
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017044078 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1780191940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S MORLEY ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702123",
"telephone_number": "660-269-9577",
"fax_number": "660-269-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S MORLEY ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702123",
"telephone_number": "660-269-9577",
"fax_number": "660-269-9578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALICIA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2017044078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.