Individual provider Active NPI

Elizabeth Hagen Smith, LPC

  • Counselor
  • Amarillo, TX
National Provider Identifier
1962513150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
19120 Issued in TX
Practice address
112 West 8TH St
Suite 800
Amarillo, TX 79101
Phone
(806) 353-1668
Fax
(806) 353-1668
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 19120 TX Primary

Addresses

Primary practice location

112 West 8TH St
Suite 800
Amarillo, TX 79101

Mailing address

112 West 8TH St
Suite 800
Amarillo, TX 79101
Phone (806) 353-1668

Other names 1

  • Miss Elizabeth Catherine Hagen Former name

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

LicenseStateTypeSpecialty
19120TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Samaritan Pastoral Counseling Center of Amarillo, Inc. Past Accepting new patients
Samaritan Pastoral Counseling Center of Amarillo, Inc. Past Accepting new patients

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962513150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WEST 8TH ST",
            "address_2": "SUITE 800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79101",
            "telephone_number": "806-353-1668",
            "fax_number": "806-353-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WEST 8TH ST",
            "address_2": "SUITE 800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79101",
            "telephone_number": "806-353-1668",
            "fax_number": "806-353-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "HAGEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HAGEN",
            "middle_name": "CATHERINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.