Individual provider Active NPI

Elizabeth Conerly Smith, PHD, LPC. BCTMH

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1881918019
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1381 Issued in MS
Practice address
7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648
Phone
(601) 325-3932
Fax
(800) 489-0211
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 1381 MS Primary

Addresses

Primary practice location

7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648

Mailing address

7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648
Phone (601) 325-3932

Other practice location 1

1104 W 1st St Ste 4
Laurel, MS 39440-4357
Phone (601) 781-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1381MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Care Empowerment Institute, Inc. Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

1104 W 1st St
Ste 4
Laurel, MS 39440
Phone (601) 651-6058

Interoperability endpoints

  • Direct secure messaging: elizabethsmith@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1881918019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL PKWY STE 101",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022648",
            "telephone_number": "601-325-3932",
            "fax_number": "800-489-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL PKWY STE 101",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022648",
            "telephone_number": "601-325-3932",
            "fax_number": "800-489-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 W 1st St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404357",
            "country_code": "US",
            "telephone_number": "601-781-1661",
            "fax_number": "800-489-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "CONERLY",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC. BCTMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.