Active NPI
Christine Annette Smothers, L.P.C.
- Professional Counselor
- Gulfport, MS
National Provider Identifier
1790799138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0582
- Practice address
- 127 Gary St
Gulfport, MS 39503-3503 - Phone
- (228) 328-1202
- Fax
- (228) 328-2522
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0582 | MS | Primary |
Addresses
Primary practice location
127 Gary St
Gulfport, MS 39503-3503
Mailing address
10723 Lilinoe Way
Diamondhead, MS 39525-4336
Phone (228) 255-3719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 S 19TH Ave
Hattiesburg, MS 39401-6171
Phone (601) 544-4641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region 12 Commission on Mental Health & Retardation Pine Belt Men | Current | Accepting new patients | |
| Region XII Commission | Current | Accepting new patients |
Locations
103 S 19th Ave
Hattiesburg, MS 39401
Phone (601) 544-4222
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.
-
dba Pine Belt Mental Health Care Resources
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hattiesburg, MS
- NPI 1982610572
-
- General Practice Physician
- Laurel, MS
- NPI 1467767988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790799138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10723 LILINOE WAY",
"city": "DIAMONDHEAD",
"state": "MS",
"postal_code": "395254336",
"telephone_number": "228-255-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 GARY ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033503",
"telephone_number": "228-328-1202",
"fax_number": "228-328-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERS",
"first_name": "CHRISTINE",
"middle_name": "ANNETTE",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "0582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.