Individual provider Active NPI

Katina N Smith, MS, MBA, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1922150655
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5170 E 65TH St Ste 107
Indianapolis, IN 46220-4992
Phone
(317) 845-8475
Fax
(317) 845-8476
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004078A IN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5170 E 65TH St Ste 107
Indianapolis, IN 46220-4992

Mailing address

PO Box 34152
Indianapolis, IN 46234-0152
Phone (317) 702-4600

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)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
39004078AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Consulting & Counseling Inc Mental Health Current Accepting new patients
Trinity Consulting & Counseling, LLC Mental Health Current Accepting new patients

Locations

5170 E 65th St
Ste 107
Indianapolis, IN 46220
Phone (317) 845-8475

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1922150655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34152",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462340152",
            "telephone_number": "317-702-4600",
            "fax_number": "317-845-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204992",
            "telephone_number": "317-845-8475",
            "fax_number": "317-845-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATINA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "MS, MBA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004078A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.