Active NPI
Roseanna D. Smith, M.S.
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1962562033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1762
- Practice address
- 3035 NW 63Rd St
Suite 151-N
Oklahoma City, OK 73116-3632 - Phone
- (405) 842-0003
- Fax
- (405) 842-1603
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1762 | OK | Primary |
| Marriage & Family Therapist | 106H00000X | 021 | OK |
Addresses
Primary practice location
3035 NW 63Rd St
Suite 151-N
Oklahoma City, OK 73116-3632
Mailing address
3035 NW 63Rd St
Suite 151-N
Oklahoma City, OK 73116-3632
Phone (405) 842-0003
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1762 | OK | MD | Mental Health Counselor |
| 021 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962562033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 NW 63RD ST",
"address_2": "SUITE 151-N",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163632",
"telephone_number": "405-842-0003",
"fax_number": "405-842-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 NW 63RD ST",
"address_2": "SUITE 151-N",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163632",
"telephone_number": "405-842-0003",
"fax_number": "405-842-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROSEANNA",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "1762",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.