STEPHEN SMITH (NPI# 1043628829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043628829 |
| Entity Type | Individual |
| Full Name | STEPHEN SMITH |
| Practice Address |
520 Orchard Ln Penngrove CA 94951-9659 |
| Mailing Address |
365 Kuck Ln Petaluma CA 94952-9606 |
| Practice Telephone | 7077921834 |
| Mailing Telephone | 7077956954 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1346807583 | Stephen Lee Smith | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7776, San Antonio, TX 78229-3901 | 2019-05-23 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1275025041 | Stephen C Smith | Student in an Organized Health Care Education/Training Program | 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 | 2018-06-06 |
| 1437653706 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2018-03-21 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1386019867 | Stephen William Smith | Psychologist | 2312 Plantation Dr, Virginia Beach, VA 23454-2739 | 2015-12-09 |
| 1548666068 | Stephen Smith | Massage Therapist | 626 E 4th St, Tonganoxie, KS 66086-9219 | 2014-11-11 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1942600044 | Stephen Smith | Student in an Organized Health Care Education/Training Program | 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 | 2014-08-26 |
| Street Address |
520 ORCHARD LN |
| City | PENNGROVE |
| State | CA |
| Zip Code | 94951-9659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783848 | Christina N Wallace | Massage Therapist | 308 Oak Street, Penngrove, CA 94951 | 2020-09-04 |
| 1922126689 | Regina Ann Wilson-seppa | Specialist | 730 Goodwin Ave, Penngrove, CA 94951-8623 | 2007-03-27 |
| 1578912481 | Jennifer Lisa Madrid | Licensed Psychiatric Technician | 574 Formschlag Ln, Penngrove, CA 94951-8715 | 2016-06-10 |
| 1740673748 | Alexander Edward Perrotti | Marriage & Family Therapist | 3450 Lichau Rd, Penngrove, CA 94951-8720 | 2015-03-15 |
| 1053382911 | Robert Rowen Herzog | Physical Therapist | 8690 Petaluma Hill Rd, Penngrove, CA 94951-8734 | 2006-01-30 |
| 1467416743 | Donald Minor | Specialist | 4960 Rebecca Dr, Penngrove, CA 94951-9519 | 2006-04-13 |
| 1689080194 | Edward Rosen | Physical Therapist | 6575 Eagle Ridge Rd, Penngrove, CA 94951-9575 | 2014-07-03 |
| 1083112221 | Kimberly Ann Brasil | Dental Hygienist | 9663 Old Redwood Hwy, Penngrove, CA 94951-9610 | 2018-01-23 |
| 1356458541 | Alexandra Advocate | Marriage & Family Therapist | 10864 Minnesota Ave, Penngrove, CA 94951-9617 | 2006-08-24 |
| 1144857475 | Natalie Diane Hole | Speech-Language Pathologist | 1379 Dutch Ln, Penngrove, CA 94951-9718 | 2020-03-25 |
| Find all providers in zip 94951 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.