Active NPI
Shane Smith, LMSW
- Mental Health Counselor
- Pampa, TX
National Provider Identifier
1780519793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 116580
- Practice address
- 120 W Kingsmill Ave Ste 206
Pampa, TX 79065-6445 - Phone
- (737) 444-3434
- NPI assigned
- Jun 13, 2026
- Last updated
- Jun 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 116580 | TX | Primary |
Addresses
Primary practice location
120 W Kingsmill Ave Ste 206
Pampa, TX 79065-6445
Mailing address
5900 Ray St Apt 107
Amarillo, TX 79118-0111
Phone (737) 444-3434
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | shanesmithcounselling@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781308800000",
"number": "1780519793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 RAY ST APT 107",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791180111",
"telephone_number": "737-444-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W KINGSMILL AVE STE 206",
"city": "PAMPA",
"state": "TX",
"postal_code": "790656445",
"telephone_number": "737-444-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHANE",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-13",
"last_updated": "2026-06-13",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "116580",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "shanesmithcounselling@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Correspondence",
"address_1": "120 W Kingsmill Ave Ste 206",
"city": "Pampa",
"state": "TX",
"country_code": "US",
"postal_code": "790656445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pampa, TX
- Bobby W Smith, DO
- Christine Smith, RN
- Derek Smith, RPH
- Jessica L Smith, FNP-BC
- Nathan Smith, NREMT-P
- John W. Sparkman, D.D.S.
- SPMG Signature Pampa Medical Group (Pampa Medical Group Urgent Care)
- SPMG Signature Pampa Medical Group
- SPMG Signature Pampa Medical Group (Pampa Medical Group)
- Brittany Stark, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.