MS. BLYTHE HILARY SMITH (NPI# 1255405676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255405676 |
| Entity Type | Individual |
| Full Name | MS. BLYTHE HILARY SMITH |
| Credential | LCPC |
| Practice Address |
4440 Lincoln Hwy Suite # 307 Matteson IL 60443-2349 |
| Practice Telephone | 7084313520 |
| Practice Fax Number | 7088953520 |
| Mailing Telephone | 7084313520 |
| Mailing Fax Number | 7088953520 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| Street Address |
4440 LINCOLN HWY SUITE # 307 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366479701 | Terri L Foster | Podiatrist | 4440 Lincoln Hwy, Suite 102, Matteson, IL 60443-2349 | 2006-06-28 |
| 1194094607 | The Foot and Ankle Wellness Center, LLC | Podiatrist | 4440 Lincoln Hwy, Suite 102, Matteson, IL 60443-2349 | 2011-12-29 |
| 1588958177 | Matteson Orthodontics Mdpc | Dentist | 4440 Lincoln Hwy, Suite 300, Matteson, IL 60443-2349 | 2011-06-01 |
| 1114246832 | Mays and Associates, Inc. | Community/Behavioral Health | 4440 Lincoln Hwy, Suite 100, Matteson, IL 60443-2349 | 2010-05-19 |
| 1023224243 | Robert J Manasse | Dentist | 4440 Lincoln Hwy, Suite 300, Matteson, IL 60443-2349 | 2007-05-15 |
| 1144386913 | Rachel R. Hernandez | Social Worker | 4440 Lincoln Hwy, Ste. 307, Matteson, IL 60443-2349 | 2006-12-28 |
| 1790850485 | Rita Jane Nolting | Social Worker | 4440 Lincoln Hwy, Suite 307, Matteson, IL 60443-2349 | 2006-11-21 |
| 1619051299 | Elizabeth Anne Herman | Counselor | 4440 Lincoln Hwy, Matteson, IL 60443-2349 | 2006-10-24 |
| 1245332402 | Med Plus Home Healthcare LLC | Home Health | 4440 Lincoln Hwy, Suite 111, Matteson, IL 60443-2349 | 2006-09-01 |
| 1720010481 | Terri L Foster | Podiatrist | 4440 Lincoln Hwy, Suite 102, Matteson, IL 60443-2349 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1407166978 | Taunya Woods | Counselor | 600 Holiday Plaza Dr Ste 130, Matteson, IL 60443-2236 | 2010-10-18 |
| 1649436650 | Sarah A Wiemeyer | Counselor | 4331 211th St, Matteson, IL 60443-2404 | 2008-07-30 |
| 1205043437 | Changing Perspectives, Inc. | Counselor | 3624 216th St, Matteson, IL 60443-2713 | 2007-05-17 |
| 1306490420 | Jeanne Weber | Counselor | 3624 216th St, Matteson, IL 60443-2713 | 2019-07-26 |
| 1225696958 | Adrienne Lambert | Counselor | 4331 Lincoln Hwy, Matteson, IL 60443-2404 | 2019-05-29 |
| 1235796236 | Mary K Aitchison | Counselor | 4331 Lincoln Hwy, Matteson, IL 60443-2404 | 2019-05-24 |
| 1366901290 | Amanda Briick | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-19 |
| 1730663782 | Jason David Hickmott | Counselor | 3624 216th St, Matteson, IL 60443-2713 | 2018-09-15 |
| 1528593027 | Maureen L Fitzmaurice | Counselor | 3624 216th St, Matteson, IL 60443-2713 | 2017-04-22 |
| Find all providers in MATTESON | ||||
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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.