Kristy Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KRISTY SMITH

Practice address

879 Willow Tree Cir Ste 112
Cordova, TN 38018-3121

Phone

(901) 571-2859

NPI assigned

Feb 1, 2022

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristy D SmithNPI 1548803588

Title

Mental/Behavioral Health Therapist

Phone

(901) 571-2859

Specialties & licenses 1

Addresses

Tax ID family

Kristy Love Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kristy Love Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cordova, TN
  • NPI 1033798160
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristy Smith

  • Clinical Social Worker
  • Cordova, TN
  • NPI 1548803588
  NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1902559875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 WILLOW TREE CIR STE 112",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183121",
            "telephone_number": "901-571-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 WILLOW TREE CIR STE 112",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183121",
            "telephone_number": "901-571-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MENTAL/BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "901-571-2859",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Koenig, DNP, CRNA
• Mitra Kohan, DDS
• Katie Komada, LMSW
• Corey Konemann, FNP-C
• Kristy Love Counseling
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy #25-457)
• Kroger Pharmacy
• Victoria Krueger

• Mental Health Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.