Individual provider Active NPI

Deanna Smith, LPC

  • Professional Counselor
  • Saint Joseph, MO
National Provider Identifier
1821597287
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2023029165 Issued in MO
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

Updated by the provider on May 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P2206018ARMDProfessional Counselor
TPMC3257FLMDProfessional Counselor
2023029165MOMDProfessional Counselor
1895SCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Deanna Smith, LPC LLC Professional CurrentSince Jul 21, 2024 Accepting new patients
Arkansas Baptist Children'S Homes and Family Ministries Mental Health PastSince Sep 1, 2022 Accepting new patients

Locations

3500 N Village Dr
Ste 264
Saint Joseph, MO 64506
Phone (816) 226-6763

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.