MR. JERRY TYRONE SMITH (NPI# 1356965719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356965719 |
| Entity Type | Individual |
| Full Name | MR. JERRY TYRONE SMITH |
| Credential | PLPC |
| Practice Address |
6818 Pasadena Rd Cheyenne WY 82009-2812 |
| Practice Telephone | 8142824045 |
| Mailing Telephone | 8142824045 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1154 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578099131 | Jerry Smith | Occupational Therapy Assistant | 2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873 | 2017-05-02 |
| 1629501820 | Jerry Smith Jr. | Counselor | 2928 E Magnolia Ave, Knoxville, TN 37914-4515 | 2017-04-05 |
| 1538572730 | Jerry Smith | Assisted Living Facility | 50 Tanglewood Dr, Dawsonville, GA 30534-8140 | 2014-06-04 |
| 1265781645 | Jerry Don Smith Jr. | Psychologist | 208 S Twin City Hwy Ste B, Nederland, TX 77627-4201 | 2012-08-31 |
| 1326341090 | Jerry Dee Smith | Dermatology | 310 Sw County Road 1000, Corsicana, TX 75110-8600 | 2010-12-17 |
| 1053626895 | Jerry Calvin Smith | Pharmacist | 2422 Wade Hampton Blvd, Greenville, SC 29615-1146 | 2010-08-17 |
| 1770817595 | Jerry J. Smith | Pharmacist | Rr 2 Box 93, Stilwell, OK 74960 | 2009-09-25 |
| 1356545669 | Jerry Neil Smith | Speech-Language Pathologist | 210 W Lakeview Dr, Trenton, NC 28585-9589 | 2007-06-12 |
| 1578651261 | Jerry Howard Smith Jr. | Counselor | 818 S Main St, Bladenboro, NC 28320-5970 | 2006-10-10 |
| 1679597850 | Jerry Richard Smith | Physical Therapist | Barbel Plz, #8 New Quarter, St Thomas, VI 00802-4600 | 2006-07-27 |
| Street Address |
6818 PASADENA RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684877 | Ashley V Evans | Counselor | 1629 Washakie Loop Unit A, Cheyenne, WY 82001-7186 | 2020-03-18 |
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1548748593 | Susan F Markus | Counselor | 4318 Green Prairie Pl, Cheyenne, WY 82001-2303 | 2018-08-01 |
| 1811365406 | Tera Campbell | Counselor | 1603 Capitol Ave Ste 303c, Cheyenne, WY 82001-4561 | 2015-09-13 |
| 1356762561 | Brandy June Edlund | Counselor | 106 E 27th St, Cheyenne, WY 82001-2817 | 2013-12-16 |
| 1205191541 | Eliza J Krall | Counselor | 1607 Capitol Ave Fl The2, Cheyenne, WY 82001-4525 | 2012-07-12 |
| 1467715078 | Lindsay C Simineo | Counselor | 1603 Capitol Ave Ste 402, Cheyenne, WY 82001-4562 | 2012-06-19 |
| 1083970875 | Tanya M Borden | Counselor | 903 S Greeley Hwy Ste A, Cheyenne, WY 82007-3057 | 2012-04-05 |
| 1942490792 | Amy M Myers | Counselor | 909 Talbot Ct, Cheyenne, WY 82001-2719 | 2007-07-27 |
| 1134342199 | Robert A Logan | Counselor | 4025 Rawlins Street, Cheyenne, WY 82001-1900 | 2007-04-10 |
| Find all providers in CHEYENNE | ||||
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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.