Active NPI
Scott Allen Smith, MA, LPC, CH
- Professional Counselor
- Flower Mound, TX
National Provider Identifier
1811244155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69365
- Practice address
- 2508 Katina Dr
Flower Mound, TX 75028-7580 - Phone
- (682) 204-1825
- Fax
- (682) 307-5272
- NPI assigned
- Aug 6, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69365 | TX | Primary |
Addresses
Primary practice location
2508 Katina Dr
Flower Mound, TX 75028-7580
Mailing address
2508 Katina Dr
Flower Mound, TX 75028-7580
Phone (309) 363-2544
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69365 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1811244155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 KATINA DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287580",
"telephone_number": "309-363-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 KATINA DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287580",
"telephone_number": "682-204-1825",
"fax_number": "682-307-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"credential": "MA, LPC, CH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-06",
"last_updated": "2022-06-29",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.