Tyra Marie Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

817 Laguna Dr
Corona, CA 92879-1027

Phone

(949) 292-2923

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1902127681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 LAGUNA DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 LAGUNA DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791027",
            "telephone_number": "949-292-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makalya Smith
• Mia Smith
• Pauline Denise Smith
• Tamiko Gaylin Smith, APRN
• Trinity Smith
• Kimberly Sneegas, P.T.
• SNF Oxygen Servicesllc
• Walter J Snow, DMD
• Jennifer So, DAOM, L.AC.
• Sarah Amos Soboh, PHARM.D.

• Mental Health Counselor in Corona, CA
• Providers in Corona, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.