JANE DANETTE SMITH (NPI# 1124483771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124483771 |
| Entity Type | Individual |
| Full Name | JANE DANETTE SMITH |
| Other Name | JANE DANETTE PERTILLAR |
| Practice Address |
15 Mulberry Street Phoenix House Springfield MA 01105 |
| Mailing Address |
135 Hartland St Hartford CT 06112-1131 |
| Practice Telephone | 4137391087 |
| Mailing Telephone | 8606700955 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639388416 | Jane Mcdowell Smith | Occupational Therapist | 4005 Clemens Court, Plant City, FL 33566 | 2007-05-21 |
| 1043437635 | Jane B Smith | Occupational Therapist | 4432 Mike Ln, Fort Worth, TX 76116-8111 | 2007-04-18 |
| 1780720557 | Jane C Smith | Marriage & Family Therapist | 850 E Foothill Blvd Ste D, Rialto, CA 92376-5230 | 2007-01-29 |
| 1902911621 | Jane Palmer Smith | Chiropractor | 890 S Barron St, Eaton, OH 45320-9362 | 2006-08-21 |
| 1356366512 | Jane Beth Smith | Marriage & Family Therapist | 3939 Cambridge Rd Ste 110, Cameron Park, CA 95682-9007 | 2006-07-12 |
| 1609866532 | Jane Swan Smith | Internal Medicine | 10224 Durant Rd, Suite 109, Raleigh, NC 27614-6468 | 2005-10-22 |
| 1528696895 | Jane Smith | Behavior Technician | 17595 Almahurst St, City of Industry, CA 91748-1779 | 2020-03-31 |
| 1346744679 | Jane Spell Smith | Social Worker | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2018-03-21 |
| 1366940462 | Jane Lynn Smith | Massage Therapist | 25001 Emery Rd Bldg 25e, Cleveland, OH 44128-5626 | 2018-01-24 |
| 1053776005 | Jane Smith | Pharmacist | 215 E Main St, Providence, KY 42450-1261 | 2015-12-17 |
| Street Address |
15 MULBERRY STREET PHOENIX HOUSE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| 1699023630 | Julie May Borowski | Counselor | 287 State St., Springfield, MA 01105 | 2012-08-23 |
| Find all providers in zip 01105 | ||||
| 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 |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on JANE DANETTE 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.