Active NPI
Randall Ann Smith, LPC
- Professional Counselor
- Salt Lake City, UT
National Provider Identifier
1891085346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 101491-6004
- Practice address
- 160 S 600 E
#300
Salt Lake City, UT 84102-1962 - Phone
- (385) 468-4475
- NPI assigned
- Apr 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 101491-6004 | UT | Primary |
Addresses
Primary practice location
160 S 600 E
#300
Salt Lake City, UT 84102-1962
Mailing address
160 S 600 E
#300
Salt Lake City, UT 84102-1962
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101491-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302998400000",
"number": "1891085346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 S 600 E",
"address_2": "#300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S 600 E",
"address_2": "#300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021962",
"telephone_number": "385-468-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RANDALL",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-17",
"last_updated": "2011-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "101491-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.