Individual provider Active NPI

Nancy Renee Smith, LPC

  • Mental Health Counselor
  • Mineola, TX
National Provider Identifier
1861258048
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
93509 Issued in TX
Practice address
112 Wigley St
Mineola, TX 75773-2138
Phone
(903) 570-9575
NPI assigned
Feb 26, 2024
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61541170 WA
Mental Health Counselor 101YM0800X 93509 TX Primary

Addresses

Primary practice location

112 Wigley St
Mineola, TX 75773-2138

Mailing address

131 Brenlind LN
Mineola, TX 75773-1906
Phone (903) 570-9575

Other practice location 1

100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (903) 497-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250403000771 WA Practitioner - Mental Health Counselor 4688197379 Reassigns benefits to 1 organization
I20250911002674 TX Practitioner - Mental Health Counselor 4688197379 Practice locations: Mineola, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 Wigley St
Mineola, TX 75773-2138
Phone (903) 497-4126

131 Brenlind LN
Mineola, TX 75773-1906

421 E Broad St 4 PMB
Suite 69
Mineola, TX 75773-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93509TXMDMental Health Counselor
MC61541170WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Mental Health CurrentSince Mar 25, 2025 Accepting new patients

Locations

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 378-4824

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1861258048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BRENLIND LN",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731906",
            "telephone_number": "903-570-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WIGLEY ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732138",
            "telephone_number": "903-570-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste R",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "903-497-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61541170",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, TX

Sources for this page

Verify at the official NPI Registry.