JO ELLEN SMOAK (NPI# 1326544172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326544172 |
Entity Type | Individual |
Full Name | JO ELLEN SMOAK |
Practice Address |
115 Carter Park Dr Seneca SC 29678-1152 |
Mailing Address |
200 Mcgee Rd Anderson SC 29625-2104 |
Practice Telephone | 8648850157 |
Mailing Telephone | 8649659450 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
115 CARTER PARK DR |
City | SENECA |
State | SC |
Zip Code | 29678-1152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801805379 | Marcia Joan Rochette | Registered Nurse | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2006-08-05 |
1841831138 | Annette Jolene Carpenter | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2019-10-08 |
1083183610 | Brianna Giannini | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2018-11-13 |
1245746957 | Sandra Stone Campbell | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2017-12-18 |
1275849440 | Kun Tang | Psychiatry & Neurology | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2010-08-26 |
1790935039 | Julie Miller | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2008-09-23 |
1124194287 | Sophie L Kirkland | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2006-11-28 |
1184710493 | Eula Howell Pate | Psychiatry & Neurology | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2006-10-05 |
1548365240 | Shandra Burns-lee | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
Find all providers in zip 29678 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
1801426457 | Victor Dean Colvard | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-01-23 |
1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
1770121394 | Michael Wade Crouch | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-13 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JO ELLEN SMOAK.
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.