Mkayla Dean Smith, LPC-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89557 Issued in TX

Practice address

1810 8TH Ave Ste 203B
Fort Worth, TX 76110-1352

Phone

(940) 256-1370

NPI assigned

Jan 4, 2023

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

State licenses

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1902519945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE STE 203B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "940-256-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE STE 203B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "940-256-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MKAYLA",
        "middle_name": "DEAN",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine L Smith, RN
• Megan S Smith, COTA
• Melissa Smith
• Melissa Elizabeth Smith, FNP
• Michelle Mitchell Smith, RNC NNP
• Nancy L Smith, ANP
• Nathan Michael Smith, MD
• Nolan Alexander Smith, DC
• Patricia Grant Smith, PT
• Phillip Alexander Smith

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.