CAMILLA SMITH (NPI# 1558612440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558612440 |
| Entity Type | Individual |
| Full Name | CAMILLA SMITH |
| Other Name | CAMILLA BECKSTEAD |
| Credential | LMFT |
| Practice Address |
309 Jerry St Castle Rock CO 80104-2489 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 9703932360 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT.0001430 | CO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 2012-024 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9702 Stonestreet Rd, Ste. 110, Louisville, KY 402726808 | 5025898600 | 5025898771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184989444 | Camilla Sarah Smith | Social Worker | 11439 Abbottswood Ct, Upper Marlboro, MD 20774-1656 | 2012-07-11 |
| 1770184202 | Camilla Smith | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-11-02 |
| 1659766657 | Camilla Smith | Counselor | 120 W Walnut St, Mayfield, KY 42066-2285 | 2015-04-06 |
| Street Address |
309 JERRY ST |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215370671 | Bonnie Anne Kilman | Massage Therapist | 309 Jerry St, Suite 102, Castle Rock, CO 80104-2489 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841710001 | Tracy J Grant | Marriage & Family Therapist | 333 Perry St Ste 206c, Castle Rock, CO 80104-2434 | 2017-06-20 |
| 1629507249 | Zacil Ha Contreras | Marriage & Family Therapist | 1465 N Monument Cir, Castle Rock, CO 80104-9821 | 2017-06-07 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1548591654 | Mariellen Dawn Rike | Marriage & Family Therapist | 107 Fifth St., Castle Rock, CO 80104-8010 | 2010-01-29 |
| 1710176797 | Lisa Anne Dunning | Marriage & Family Therapist | 998 Pleasant View St, Castle Rock, CO 80104-1632 | 2007-10-16 |
| 1104274257 | Joshua Smith | Marriage & Family Therapist | 831 S Perry St, Castle Rock, CO 80104-1919 | 2016-05-31 |
| 1912347840 | Terri Jean Mathis | Marriage & Family Therapist | 831 S Perry St, Castle Rock, CO 80104 | 2013-06-25 |
| 1023452307 | Elizabeth Ann Good Wyknenko | Marriage & Family Therapist | 831 S Perry St, Castle Rock, CO 80104 | 2013-04-17 |
| 1740502533 | James Christopher Purviance | Marriage & Family Therapist | 831 S Perry St, Suite 100, Castle Rock, CO 80104-1919 | 2010-02-19 |
| 1023128071 | Kim Nadler | Marriage & Family Therapist | 340 Perry St, Suite 220, Castle Rock, CO 80104-2499 | 2006-08-30 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on CAMILLA 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.