MR. JUSTIN L. SMITH (NPI# 1225450984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225450984 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN L. SMITH |
| Credential | MA, LPCC |
| Practice Address |
100 E Somerset Church Rd Somerset KY 42503-4977 |
| Mailing Address |
Po Box 2 Somerset KY 42502-0002 |
| Practice Telephone | 6064519379 |
| Practice Fax Number | 6064518149 |
| Mailing Telephone | 6064519379 |
| Mailing Fax Number | 6064518149 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100370000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
| 1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
| 1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
| 1154671394 | Justin Smith | Contractor | 2104 Elizabeth Ave, Zion, IL 60099-2731 | 2012-09-14 |
| 1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
| 1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| 1366678369 | Justin Adam Smith | Specialist/Technologist | Owens Field House, 135 Jack Branch Drive, Boone, NC 28608-0001 | 2009-06-04 |
| Street Address |
100 E SOMERSET CHURCH RD |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215462684 | Derek Bowers | Marriage & Family Therapist | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457916264 | Heather E Revill | Counselor | 98 Fair Dr, Somerset, MA 02726-5926 | 2019-05-07 |
| 1467911172 | Kaley Flynn | Counselor | 205 E Mount Vernon St, Somerset, KY 42501-1412 | 2019-03-13 |
| 1598241259 | Tammy Lynn Schaale | Counselor | 175 Blackjack Trail, Somerset, TX 78069-7806 | 2018-07-16 |
| 1578066635 | Tracy Colleen Mcquarter | Counselor | 600 Monticello St, Somerset, KY 42501-2974 | 2018-03-15 |
| 1962923193 | Luis R. Esparza | Counselor | 93 Village Dr, Somerset, TX 78069-3951 | 2017-06-28 |
| 1023550712 | Nicole Schlett | Counselor | 48 Norma Ave Apt 3c, Somerset, NJ 08873-3156 | 2016-11-10 |
| 1669925301 | Amy Ruggirello | Counselor | 107 Cedar Grove Ln Ste 104, Somerset, NJ 08873-4719 | 2016-07-29 |
| 1770940611 | Corna Rutherford | Counselor | 4341 S Highway 27, Somerset, KY 42501-6105 | 2016-01-22 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1245613157 | Sonya Johnson | Counselor | 6 Ronald Dr, Somerset, NJ 08873-5134 | 2015-07-09 |
| Find all providers in SOMERSET | ||||
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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.