MR. MATTHEW ALAN SMITH (NPI# 1164065926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164065926 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ALAN SMITH |
| Credential | MS, NCC, LPC |
| Practice Address |
602 E Academy St Ste 105 Fuquay Varina NC 27526-2382 |
| Mailing Address |
992 Falls Park Dr Sanford NC 27330-8302 |
| Practice Telephone | 9197531275 |
| Mailing Telephone | 9105850028 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 7740 | NC | 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 |
602 E ACADEMY ST STE 105 |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710323357 | Anne Cooke Miller | Counselor | 602 E Academy St Ste 105, Fuquay Varina, NC 27526-2382 | 2013-05-21 |
| 1437562402 | Stefani Miller | Counselor | 602 E Academy St Ste 105, Fuquay Varina, NC 27526-2382 | 2014-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| 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 |
|---|---|---|---|---|
| 1538537519 | Best Day Psychiatry and Counseling, PC | Counselor | 609 Attain St Ste 101, Fuquay Varina, NC 27526-1984 | 2015-09-09 |
| 1144480633 | Clara M Stiers | Counselor | 8132 Robincrest Ct, Fuquay Varina, NC 27526 | 2008-06-10 |
| 1417457854 | Nicole Andra Baker | Counselor | 1517 N Main St, Fuquay Varina, NC 27526-8579 | 2018-02-12 |
| 1588079974 | Ryann Koval | Counselor | 301 Sunset Dr, Fuquay Varina, NC 27526-2196 | 2014-06-25 |
| 1881788586 | Kelly Alicia Brown | Counselor | 602 E Academy St, Fuquay Varina, NC 27526-2382 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.