Active NPI
Larry Leroy Smith, MS, LCMHC, NCC, CCI
- Professional Counselor
- American Fork, UT
National Provider Identifier
1841655909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7835696-6004
- Practice address
- 490 N 500 E
American Fork, UT 84003-1872 - Phone
- (801) 592-1628
- NPI assigned
- Dec 16, 2015
- 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 | 7835696-6004 | UT | Primary |
Addresses
Primary practice location
490 N 500 E
American Fork, UT 84003-1872
Mailing address
490 N 500 E
American Fork, UT 84003-1872
Phone (801) 592-1628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7835696-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1841655909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 N 500 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840031872",
"telephone_number": "801-592-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 N 500 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840031872",
"telephone_number": "801-592-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LARRY",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"credential": "MS, LCMHC, NCC, CCI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "7835696-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.