MEDICARE: RACHEL ANNA SMITH MA, LPC, LCDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	68624	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	11106	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11106	OTHER	TX	TEXAS DEPARTMENT OF STATE HEALTH SERVICES
3	68624	OTHER	TX	TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNSEL

General Provider Information

NPI Number	:	1285952317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANNA SMITH MA, LPC, LCDC

Provider Business Mailing Address
First Line	:	3223 S LOOP 289 STE 145
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-1336
Country	:	US
Telephone Number	:	806-370-0327
Fax Number	:

Provider Business Practice Location Address
First Line	:	3223 S LOOP 289 STE 145
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-1336
Country	:	US
Telephone Number	:	806-370-0327
Fax Number	:	806-224-0304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	08/25/2025

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