CHANNEL SMITH (NPI# 1184252017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184252017 |
| Entity Type | Individual |
| Full Name | CHANNEL SMITH |
| Practice Address |
1809 Visscher Dr Elkhart IN 46514-6505 |
| Practice Telephone | 7734915423 |
| Mailing Telephone | 7734915423 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 83-4511368 | 05 |
| Street Address |
1809 VISSCHER DR |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| 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 |
|---|---|---|---|---|
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1346424314 | Roxanne Jeanette Watts | Counselor | 3221 Homer Ave, Elkhart, IN 46517-2659 | 2007-12-26 |
| 1376740886 | Michael George Swihart | Counselor | 58539 C.r. 13, Elkhart, IN 46516 | 2007-06-28 |
| 1831222827 | Debra S Bledsoe | Counselor | 29861 Florida Ave, Elkhart, IN 46516-1351 | 2007-03-13 |
| 1821129669 | Roberto Fernando Richardson | Counselor | 500 N Nappanee St Ste 4a, Elkhart, IN 46514-1502 | 2007-03-07 |
| 1003416108 | Rachel Lauer | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-28 |
| 1619576444 | Kristina Partridge | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-22 |
| 1013516475 | Emily Schrock | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-18 |
| 1568061927 | William Larry | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-18 |
| 1912505975 | Sheila Christine Miller | Counselor | 311 W High St, Elkhart, IN 46516-2827 | 2020-10-13 |
| Find all providers in ELKHART | ||||
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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.