ATHENA A SMITH


Address: 904 E. Martin Luther King Dr, Centralia, IL 62801
Phone: 6185331391

ATHENA A SMITH (NPI# 1376082685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376082685
Entity Type Individual
Full Name ATHENA A SMITH
Credential M.S.
Practice Address 904 E. Martin Luther King Dr
Centralia
IL 62801
Mailing Address 904 E. Martin Luther King Drive
Centralia
IL 62801
Practice Telephone 6185331391
Practice Fax Number 6185330012
Mailing Telephone 6185331391
Mailing Fax Number 6185330012
Enumeration Date 2017-02-20
Last Update Date 2017-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 904 E. MARTIN LUTHER KING DR
City CENTRALIA
State IL
Zip Code 62801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1629573365 Prabhat Shrestha Student in an Organized Health Care Education/Training Program 605 Sable Drive, Centralia, IL 62801 2018-03-26
1619496098 Whitney Rathmann Speech-Language Pathologist 224 South Locust, Centralia, IL 62801 2017-09-17
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
1568820637 Midland Area Agency On Aging Case Management 434 S Poplar Street, Centralia, IL 62801 2016-02-04
1104201714 Keri Douglas Nurse Practitioner 1054 M. L. King Drive #125, Centrailia, IL 62801 2015-07-24
1215331509 Melissa Dane Counselor 904 E Martin Luther King Dr., Centralia, IL 62801 2014-10-15
1932447745 Amanda Winchell Counselor 904 Mlk Dr, Centralia, IL 62801 2013-01-29
Find all providers in zip 62801

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790385821 Joshua Bigner Counselor 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 2020-10-28
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1376078246 Ashley Patrice Broussard Counselor 1723 Kresky Ave, Centralia, WA 98531-8985 2017-04-27
1023552551 Kelsey Dulle Counselor 904 Martin Luther King Drive, Centralia, IL 62801-3058 2016-12-19
1548703580 Tiana Barbee Counselor 904 Mlk Drive, Centralia, IL 62801-3058 2016-11-23
1518411131 Shelia Wilson Counselor 904 E. Martin Luther King, Centralia, IL 62801-3058 2016-08-11
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
1235683855 Kd Smith Counselor 904 East Martin Luther King, Dr, Centralia, IL 62870 2016-08-11
Find all providers in CENTRALIA

Competitor

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City CENTRALIA
Zip Code 62801

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Dataset Information

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.

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