Individual provider Active NPI

Laura Louise Smith, LPC

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1801915582
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13439 Issued in TX
Practice address
119 North St
Suite I
Nacogdoches, TX 75961-5238
Phone
(936) 560-6855
Fax
(936) 564-5232
NPI assigned
Mar 27, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13439 TX Primary

Addresses

Primary practice location

119 North St
Suite I
Nacogdoches, TX 75961-5238

Mailing address

119 North St
Suite I
Nacogdoches, TX 75961-5238
Phone (936) 560-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819000292 TX Practitioner - Mental Health Counselor 3173809365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2714 N University Dr
Suite 100
Nacogdoches, TX 75965-2974
Phone (936) 560-6855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13439TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossover Counseling Professional CurrentSince May 10, 2010 Accepting new patients

Locations

310 Harmony Hill Dr
Ste 200
Lufkin, TX 75901
Phone (936) 228-6789

119 North St
Ste I
Nacogdoches, TX 75961
Phone (936) 560-6855

2714 N University Dr
Ste 100
Nacogdoches, TX 75965
Phone (936) 560-6855

3524 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 304-1826

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801915582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NORTH ST",
            "address_2": "SUITE I",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615238",
            "telephone_number": "936-560-6855",
            "fax_number": "936-564-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NORTH ST",
            "address_2": "SUITE I",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615238",
            "telephone_number": "936-560-6855",
            "fax_number": "936-564-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.