JOHN SMITH JR. (NPI# 1114464435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114464435 |
Entity Type | Individual |
Full Name | JOHN SMITH JR. |
Practice Address |
390 E Boundary Dr Spartanburg SC 29303-3926 |
Mailing Address |
Po Box 1185 Duncan SC 29334-1185 |
Practice Telephone | 8646034086 |
Mailing Telephone | 8646034086 |
Enumeration Date | 2017-01-24 |
Last Update Date | 2017-01-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
1972923001 | John Smith | Prosthetic/Orthotic Supplier | 223 E Franklin St, Tupelo, MS 38804-4007 | 2014-04-16 |
Street Address |
390 E BOUNDARY DR |
City | SPARTANBURG |
State | SC |
Zip Code | 29303-3926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
Find all providers in zip 29303 |
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 |
---|---|---|---|---|
1952845356 | Brittany Stilwell | Counselor | 323 Sunridge Dr, Spartanburg, SC 29302-4671 | 2016-12-05 |
1134527849 | Zephaniah Services Pllc | Counselor | 7092 Howard St, Suite J, Spartanburg, SC 29303-1403 | 2014-12-11 |
1124421839 | Judith Lynn Jankowski | Counselor | 243 E Blackstock Rd Ste 3, Spartanburg, SC 29301-2653 | 2014-10-08 |
1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
1750618658 | Angelia Carter | Counselor | 1565 Skylyn Dr, Spartanburg, SC 29307-1034 | 2009-11-13 |
1225227101 | Melissa Dawn Holloman | Counselor | 279 N Grove Medical Park Drive, Spartanburg, SC 29303 | 2007-10-17 |
1518153675 | Carla J Turner | Counselor | 110 S Dean St, Spartanburg, SC 29302-1971 | 2007-09-21 |
1356543045 | Cheryl B Haman | Counselor | 200 Ezell Street, Spartanburg, SC 29306 | 2007-06-04 |
1023041043 | Renaissance Therapy & Forensic Counseling Center | Counselor | 200 Ezell St, Spartanburg, SC 29306 | 2006-07-10 |
1255966578 | James Clayton Boyce IIi | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2020-03-06 |
Find all providers in SPARTANBURG |
City | SPARTANBURG |
Zip Code | 29303 |
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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.