DEBRA L SMITH (NPI# 1184175341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184175341 |
| Entity Type | Individual |
| Full Name | DEBRA L SMITH |
| Credential | LPC |
| Practice Address |
5230 S 6th Street Rd Springfield IL 62703-5128 |
| Practice Telephone | 2175851180 |
| Practice Fax Number | 2175854747 |
| Mailing Telephone | 2175851180 |
| Mailing Fax Number | 2175854747 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178011918 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSED PROFESSIONAL COUNSELOR | 178011918 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312370 | Debra Kay Smith | Marriage & Family Therapist | 33726 Chrisco St, Agua Dulce, CA 91390-5051 | 2018-07-10 |
| 1154818540 | Debra Lynne Smith | Registered Nurse | 10601 248th Street Ct E, Graham, WA 98338-6769 | 2018-04-20 |
| 1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
| 1629404942 | Debra Smith | Behavioral Analyst | 36 Gotham Ave, Brooklyn, NY 11229 | 2013-09-18 |
| 1942555677 | Debra Smith | Community Health Worker | 11056 Township Road 101, Findlay, OH 45840-9608 | 2012-07-18 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1306085667 | Debra M Smith | Speech-Language Pathologist | 38 W Passage Dr, Portsmouth, RI 02871-1358 | 2009-02-10 |
| 1972714442 | Debra Kay Hines Smith | Physician Assistant | 22629 N 73rd Dr, Glendale, AZ 85310-5662 | 2007-05-25 |
| 1184758302 | Debra Frazier Smith | Registered Nurse | 3968 Rose Ave, Long Beach, CA 90807-3734 | 2007-03-16 |
| 1194885186 | Debra A Smith | Preventive Medicine | 7008 Wooded Meadow Rd, Louisville, KY 40241-6411 | 2006-12-11 |
| Street Address |
5230 S 6TH STREET RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
| 1649891102 | Amelia Johnson | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2020-05-06 |
| 1477911634 | Amy Yeates | Nurse Practitioner | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2016-02-03 |
| 1306247861 | Brian Stoops | Social Worker | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2014-09-15 |
| 1295156255 | Ilana Grenda | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-12-18 |
| 1417386699 | Sandra Lancaster | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-11-07 |
| 1619318557 | Springfield Hospital Inc | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-07-08 |
| 1457691297 | Ember Beddingfield | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-02-14 |
| 1912254087 | Ashley M Ribaudo | Nurse Practitioner | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2012-08-08 |
| 1407126352 | Springfield Hospital, Inc. | Social Worker | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2012-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on DEBRA L 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.