MARK SMITH (NPI# 1275956211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275956211 |
| Entity Type | Individual |
| Full Name | MARK SMITH |
| Practice Address |
43 Hatch Dr Suite 210 Caribou ME 04736-2161 |
| Practice Telephone | 2077646340 |
| Practice Fax Number | 2077686430 |
| Mailing Telephone | 2077646340 |
| Mailing Fax Number | 2077686430 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1275956211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| Street Address |
43 HATCH DR SUITE 210 |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518072347 | Peter Mccorison | Social Worker | 43 Hatch Dr, Caribou, ME 04736-2161 | 2006-08-20 |
| 1629582150 | Lazaro Martinez | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2017-11-20 |
| 1982115481 | Abigail Pelletier | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2017-10-24 |
| 1922454644 | Erin J Madore | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2016-05-12 |
| 1912335902 | Ashley Willey | Counselor | 43 Hatch Dr, Suite210, Caribou, ME 04736-2161 | 2013-10-29 |
| 1760742456 | Treska M. Berube | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2012-05-29 |
| 1053678375 | Krista A Albert | Counselor | 43 Hatch Dr, Suite #210, Caribou, ME 04736-2161 | 2012-04-12 |
| 1649550666 | Keren Morin | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2011-08-22 |
| 1144558875 | James Cyr | Social Worker | 43 Hatch Dr, Caribou, ME 04736-2161 | 2009-11-18 |
| 1053548057 | Lori A Cyr | Counselor | 43 Hatch Dr, Suite 210, Caribou, ME 04736-2161 | 2009-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093973398 | Brenda R. Goodine | Counselor | 43 Vickers Dr, Caribou, ME 04736-3884 | 2008-05-23 |
| 1134693807 | Bracal Kilian | Counselor | 128 Sweden St Ste 1, Caribou, ME 04736-2071 | 2019-01-16 |
| 1922454644 | Erin J Madore | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2016-05-12 |
| 1285003723 | Merriann Merriman | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-09-15 |
| 1588040406 | April Flagg | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-08-03 |
| 1154708048 | Kathleen R Poitras | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-04-30 |
| 1821497488 | Steve Babin | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2014-08-20 |
| 1538579057 | Shanon Hafford | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2014-05-06 |
| 1912335902 | Ashley Willey | Counselor | 43 Hatch Dr, Suite210, Caribou, ME 04736-2161 | 2013-10-29 |
| 1659705598 | Bethany Amanda Phinney | Counselor | 24 Sweden St, Suite 201, Caribou, ME 04736-2127 | 2013-08-28 |
| Find all providers in CARIBOU | ||||
Please comment or provide details below to improve the information on MARK 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.