MR. JEFFREY SARGENT SMITH (NPI# 1568515005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568515005 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY SARGENT SMITH |
| Credential | LMHC, LMFT |
| Practice Address |
26 Granite State Ct Brewster MA 02631-2127 |
| Practice Telephone | 5082401471 |
| Practice Fax Number | 5082401471 |
| Mailing Telephone | 5082401471 |
| Mailing Fax Number | 5082401471 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
3050 | MA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 440 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD MA | LM0369 | 01 |
| MA | PHCS | 9397166 | 01 |
| MA | CHAMPUS | S029341 | 01 |
| MA | TUFTS HEALTH PLAN | 790687 | 01 |
| MA | AETNA | 7199181 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
| 1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
| 1447723101 | Jeffrey Clinton Smith | Massage Therapist | 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | 2019-01-05 |
| 1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
| 1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| 1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
| 1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
| 1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
| 1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
| 1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
| Street Address |
26 GRANITE STATE CT |
| City | BREWSTER |
| State | MA |
| Zip Code | 02631-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1669972790 | Julie Lynne Mollica | Social Worker | 456 Flax Pond Road, Brewster Treatment Program, Old Colony Ymca, Brewster, MA 02631 | 2018-02-15 |
| 1295244168 | Michele Louise Oconnor | Occupational Therapist | 1721 Long Pond Road, Brewster, MA 02631 | 2017-09-23 |
| 1356799902 | Katherine Drach Reilly | Behavioral Analyst | 63 Brook Trail Rd, Brewster, MA 02631 | 2016-05-24 |
| 1407214901 | Md Visits LLC | Emergency Medicine | 162 Highland Moors Dr., Brewster, MA 02631 | 2016-01-29 |
| 1720350390 | Kevin Whelley | Counselor | 21 Cross Street, Brewster, MA 02631 | 2012-01-30 |
| 1518238609 | Pleasant Bay Health and Wellness Center LLC | Physical Therapist | 64 Woodlands Way, Brewster, MA 02631 | 2012-01-20 |
| 1184740953 | Jacs Ops IIi, Inc | Assisted Living Facility | 855 Harwich Road, Brewster, MA 02631 | 2007-03-22 |
| 1184763997 | Beverly Ann Biondi | Physical Therapist | 84 Underpass Rd, Brewster, MA 02631 | 2007-02-06 |
| 1679646384 | Paul James Tausek | Social Worker | 25 Breakwater Rd, Brewster, MA 02631 | 2006-11-17 |
| Find all providers in zip 02631 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808161 | Jennifer Oberlander | Counselor | 400 Doansburg Rd # 719, Brewster, NY 10509-5902 | 2020-07-13 |
| 1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
| 1205385283 | Travis M. Tebbetts | Counselor | 35 Park Ln, Brewster, MA 02631-1741 | 2016-10-01 |
| 1720350390 | Kevin Whelley | Counselor | 21 Cross Street, Brewster, MA 02631 | 2012-01-30 |
| 1518295963 | Julie Ruppert Cusack | Counselor | 60 Abners Cir, Brewster, MA 02631-2677 | 2009-11-23 |
| 1407043128 | Justin Michael Strilowich | Counselor | 570 Farm To Market Rd, Brewster, NY 10509-6143 | 2007-09-26 |
| 1891871976 | Barbara Braun-mcdonald | Counselor | 3937 Main St, Brewster, MA 02631-1592 | 2006-10-31 |
| 1801829056 | Wilderness Sarchild | Counselor | 196 Nan Ke Rafe Path, Brewster, MA 02631-1590 | 2006-07-09 |
| 1912907031 | Ann Marie Muller | Counselor | 23 Baystate Ct, #25, Brewster, MA 02631-2120 | 2005-07-29 |
| 1447859228 | Ariana Fawn Milman | Counselor | 520 W. Indian Ave., Brewster, WA 98812 | 2020-10-22 |
| Find all providers in BREWSTER | ||||
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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.