Active NPI
Deanna Smith, LPC
- Professional Counselor
- Saint Joseph, MO
National Provider Identifier
1821597287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2023029165
- Practice address
- 3500 N Village Dr Ste 264
Saint Joseph, MO 64506-4979 - Phone
- (816) 226-6763
- NPI assigned
- Feb 12, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | TPMC3257 | FL | |
| Professional Counselor | 101YP2500X | P2206018 | AR | |
| Professional Counselor | 101YP2500X | 1895 | SC | |
| Professional Counselor | 101YP2500X | 2023029165 | MO | Primary |
Addresses
Primary practice location
3500 N Village Dr Ste 264
Saint Joseph, MO 64506-4979
Mailing address
4510 Hunters Glen Dr Apt B
Saint Joseph, MO 64506-4047
Phone (501) 515-8446
Other practice location 1
6834 Cantrell Rd # 1120
Little Rock, AR 72207-4135
Phone (816) 226-6763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 3, 2026 through Feb 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2206018 | AR | MD | Professional Counselor |
| TPMC3257 | FL | MD | Professional Counselor |
| 2023029165 | MO | MD | Professional Counselor |
| 1895 | SC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Deanna Smith, LPC LLC | Professional | Current | Accepting new patients |
| Arkansas Baptist Children'S Homes and Family Ministries | Mental Health | Past | Accepting new patients |
Locations
3500 N Village Dr
Ste 264
Saint Joseph, MO 64506
Phone (816) 226-6763
Interoperability endpoints
- deannasmith@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Professional Counselor
- Saint Joseph, MO
- NPI 1437997525
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1972159267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1821597287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 HUNTERS GLEN DR APT B",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645064047",
"telephone_number": "501-515-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N VILLAGE DR STE 264",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645064979",
"telephone_number": "816-226-6763"
}
],
"practiceLocations": [
{
"address_1": "6834 Cantrell Rd # 1120",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722074135",
"country_code": "US",
"telephone_number": "816-226-6763",
"fax_number": "816-312-3241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DEANNA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMC3257",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2206018",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1895",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2023029165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.