Individual provider Active NPI

Lisa Michele Smith Barrow

  • Professional Counselor
  • Whitney, TX
National Provider Identifier
1871037580
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71968 Issued in TX
Practice address
133 Hillside Dr
Whitney, TX 76692-7570
Phone
(221) 448-6048
NPI assigned
Dec 14, 2016
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 71968 TX Primary

Addresses

Primary practice location

133 Hillside Dr
Whitney, TX 76692-7570

Mailing address

133 Hillside Dr
Whitney, TX 76692-7570
Phone (221) 448-6048

Other names 1

  • Lisa Michele Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240111001042 TX Practitioner - Mental Health Counselor 6406207794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71968TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1871037580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HILLSIDE DR",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766927570",
            "telephone_number": "221-448-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HILLSIDE DR",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766927570",
            "telephone_number": "221-448-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH BARROW",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SMITH",
            "middle_name": "MICHELE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitney, TX

Sources for this page

Verify at the official NPI Registry.