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Active NPI 1366288037 Individual Practitioner Female Practitioner

Angela Lee Smith , LPC

Counselor - Professional • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Angela Smith, LPC is a registered healthcare professional specializing in Counselor - Professional in O Fallon, IL. Practice services are available at 640 PIERCE BLVD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

640 Pierce Blvd Ste 200

O Fallon, IL 622692584

Telephone 6184919133
Associated Practice Facility / Clinic
🏢 Trifecta Counseling Llc Facility NPI 1568009991

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
31 Specialists

Practicing in O Fallon, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178.009963

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kimberly Stevens , LCSW

Social Worker - Clinical

NPI 1417100504

Licensed Clinical Social Worker

Steve Heitkamp , DMIN, LCPC

Counselor - Professional

NPI 1609867712

DMIN, Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 640 PIERCE BLVD STE 200, O FALLON, IL 622692584 (Tel: 6184919133)

📍
Updated Business Mailing Address July 02, 2024

Registered at 640 PIERCE BLVD STE 200, O FALLON, IL 622692584 (Tel: 6184919133)

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as ANGELA SMITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Counselor (License #178.009963 in IL)

🟢
Initial NPI Registration & Enumeration July 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366288037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: July 02, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

640 Pierce Blvd Ste 200

O Fallon, IL 622692584

Phone: 6184919133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.