Angie J Smith, ED.D, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62314 Issued in TX

Practice address

12505 Memorial Dr Ste 230
Houston, TX 77024-6051

Phone

(844) 824-8775

NPI assigned

May 18, 2007

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindtree Institute PLLC Mindtree Counseling and Consulting

  dba MindTree Counseling and Consulting

  • Professional Counselor
  • Katy, TX
  • NPI 1427704501
  NPD Authorized official
• Continuum Integrated Health Services Inc

  dba Continuum Integrated

  • Adolescent and Children Mental Health Clinic/Center
  • Houston, TX
  • NPI 1730567322
  NPD (past)
• Continuum Integrated Health Services, Inc

  dba Continuum

  • Group Psychotherapy Psychologist
  • Houston, TX
  • NPI 1275677700
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1952519399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 MEMORIAL DR STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 MEMORIAL DR STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246051",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGIE",
        "middle_name": "J",
        "credential": "ED.D, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62314",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184020901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Smith, FNP
• Andrea Renee Smith, D.C.
• Andreux Nathan Smith
• Angela H Smith, PH.D.
• Angelique Smith
• Ariel Patrice Smith, PHD
• Ariey P Smith
• Ashlea Smith
• Ashleigh Smith, PSS
• Ashley Smith

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.