Amie Renae Smith, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003692 Issued in IL

Practice address

1100 Beech St
Normal, IL 61761-1493

Phone

(309) 613-3173

NPI assigned

Mar 20, 2013

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

Practice roles

Locations

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.

• Amie Smith Counseling PLLC

  • Professional Counselor
  • Normal, IL
  • NPI 1114699188
  NPD Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1912249764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S HARRIS ST",
            "city": "TREMONT",
            "state": "IL",
            "postal_code": "615688143",
            "telephone_number": "309-613-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611493",
            "telephone_number": "309-613-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMIE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurpreet Singh, M.D
• Dareen D Siri, M.D.
• Katelynne Grace Sitton, CNP
• Senthil K Sivalingam, M.D
• Janet Sleeth
• Ann Marie Smith, DOCTOR OF AUDIOLOGY
• Juanita Smith, CRNA
• Megan Elizabeth Smith, MED, LAT, ATC
• Susan Smith, DPT
• Tiesha Smith

• Professional Counselor in Normal, IL
• Providers in Normal, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.