CRYSTAL SMITH (NPI# 1568972248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568972248 |
| Entity Type | Individual |
| Full Name | CRYSTAL SMITH |
| Practice Address |
3936 Greenwood Rd Shreveport LA 71109-6409 |
| Practice Telephone | 3186366002 |
| Practice Fax Number | 3187161234 |
| Mailing Telephone | 3186366002 |
| Mailing Fax Number | 3187161234 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548724974 | Crystal K Smith | Adult Companion | 508 64th Ave E, Bradenton, FL 34203-7643 | 2019-01-30 |
| 1619499647 | Crystal Marie Smith | Nurse Practitioner | 2401 Brandermill Blvd Ste 310, Gambrills, MD 21054-1604 | 2017-07-12 |
| 1699147322 | Crystal P Smith | Occupational Therapy Assistant | 4217 Peppertree Ave, Concord, NC 28027-7670 | 2015-10-21 |
| 1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
| 1386076602 | Crystal Eva Smith | Counselor | 1900 Kinmount Dr, Lake Orion, MI 48359-1639 | 2013-08-09 |
| 1255661807 | Crystal Irene Smith | Physical Therapist | 801 Carrington Ave, Capitol Heights, MD 20743-1846 | 2010-01-04 |
| 1790852846 | Crystal D Smith | Counselor | 520 Mount Rose St, Reno, NV 89509-3362 | 2006-11-30 |
| 1831175769 | Crystal Jo Smith | Dentist | Bldg 38801 Academic Dr, Suite B & C, Ft Gordon, GA 30905-5660 | 2005-12-22 |
| 1679172340 | Crystal Elizabeth Smith | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-10-22 |
| 1144837808 | Crystal Smith | Homemaker | 103 W 5th Ave, Ranson, WV 25438-1405 | 2020-09-28 |
| Street Address |
3936 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285093112 | Lighthouse Counseling Agency, LLC | Community/Behavioral Health | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2016-02-21 |
| 1235607052 | Kashonda Stewart | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2018-11-09 |
| 1356833347 | Regenia Sheree Robertson | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2018-06-05 |
| 1942737192 | Justin Brown | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109 | 2017-05-18 |
| 1962937078 | Angela D Washington | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2017-04-26 |
| 1699200246 | Jolanda Hill | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2017-04-20 |
| 1174056808 | Louis Broadway | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2017-04-10 |
| 1437699048 | Courtney Sevin | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2017-03-01 |
| 1962944983 | Nathaniel Veal | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2016-11-08 |
| 1386193274 | Elizabeth A Williams | Counselor | 3936 Greenwood Rd, Shreveport, LA 71109-6409 | 2016-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
Please comment or provide details below to improve the information on CRYSTAL 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.