MATTHEW SMITH (NPI# 1053708974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053708974 |
| Entity Type | Individual |
| Full Name | MATTHEW SMITH |
| Credential | LCPC |
| Practice Address |
564 W Randolph St 2nd Floor Chicago IL 60661-2218 |
| Practice Telephone | 3128043451 |
| Mailing Telephone | 3128043451 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.009590 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1003433277 | Matthew P Smith | Massage Therapist | 1733 E 22nd Ave Apt 1, Denver, CO 80205-5588 | 2020-07-02 |
| 1093332017 | Matthew Craig Smith | Dentist | 7033 Stantonsburg Rd, Farmville, NC 27828-9031 | 2020-06-26 |
| 1235790221 | Matthew Smith | Physical Therapist | 185 Hickory Ln, Washington Court House, OH 43160-9406 | 2019-06-21 |
| 1639739345 | Matthew Douglas Smith | Dentist | 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 | 2019-06-14 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1114446002 | Matthew R Smith | Counselor | 1801 E 5th St Ste 208, Charlotte, NC 28204-3400 | 2017-09-12 |
| 1518495241 | Matthew Smith | Internal Medicine | 200 Hawkins Dr Dept Intmed, Iowa City, IA 52242-1009 | 2017-05-25 |
| Street Address |
564 W RANDOLPH ST 2ND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396878492 | Hillary Nicole Jennings | Counselor | 564 W Randolph St, #251, Chicago, IL 60661-2218 | 2007-03-14 |
| 1871029454 | Joyce Mara Damasceno Chestek | Counselor | 564 W Randolph St, Suite 247, Chicago, IL 60661-2218 | 2017-05-03 |
| 1326590787 | Tara Thomason, Lcsw LLC | Social Worker | 564 W Randolph St, Suite 200, Chicago, IL 60661-2218 | 2016-11-01 |
| 1477908952 | Linda A Murray | Massage Therapist | 564 W Randolph St, Suite 240, Chicago, IL 60661-2218 | 2016-05-03 |
| 1528428760 | Betsy Leigh Posby | Nurse Practitioner | 564 W Randolph St, 2nd Floor, Chicago, IL 60661-2218 | 2016-03-01 |
| 1255796371 | Tabitha Patrice Washington | Nurse Practitioner | 564 W Randolph St, 2nd Floor, Chicago, IL 60661-2218 | 2015-12-16 |
| 1457742355 | Salonia Foggie | Nurse Practitioner | 564 W Randolph St, 2nd Floor, Chicago, IL 60661-2218 | 2015-02-12 |
| 1821498346 | Jennifer Bivona | Social Worker | 564 W Randolph St, 2nd Floor, Chicago, IL 60661-2218 | 2014-09-03 |
| 1306191499 | Diane Aniolowski | Social Worker | 564 W Randolph St, Suite 251, Chicago, IL 60661-2218 | 2012-07-16 |
| 1841496973 | Monique Brunson Jones | Social Worker | 564 W Randolph St, Suite 231, Chicago, IL 60661-2218 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MATTHEW SMITH.
| 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.