Active NPI
Shanasi Lee Smith
- Mental Health Counselor
- Tahlequah, OK
National Provider Identifier
1922555853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 07432
- Practice address
- 800 N East Ave Apt 7B
Tahlequah, OK 74464-2419 - Phone
- (918) 730-3637
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 07432 | OK | Primary |
Addresses
Primary practice location
800 N East Ave Apt 7B
Tahlequah, OK 74464-2419
Mailing address
118 SBK 410 Road
Stigler, OK 74462
Phone (918) 316-5925
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07432 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1922555853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SBK 410 ROAD",
"city": "STIGLER",
"state": "OK",
"postal_code": "74462",
"telephone_number": "918-316-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N EAST AVE APT 7B",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744642419",
"telephone_number": "918-730-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHANASI",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2024-08-15",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "07432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.