KIMBERLY J SMITH (NPI# 1588180350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588180350 |
| Entity Type | Individual |
| Full Name | KIMBERLY J SMITH |
| Credential | CCSS |
| Practice Address |
805 Highway 589 Purvis MS 39475-4194 |
| Mailing Address |
Po Box 18679 Hattiesburg MS 39404-8679 |
| Practice Telephone | 6017946543 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 441 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
805 HIGHWAY 589 |
| City | PURVIS |
| State | MS |
| Zip Code | 39475-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932239050 | Alexis Tarbin | Social Worker | 805 Highway 589, Purvis, MS 39475 | 2007-03-07 |
| 1619479078 | Ashley Gray | Social Worker | 805 Highway 589, Purvis, MS 39475-4194 | 2018-03-01 |
| 1588179733 | Elizabeth Jackson | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1871008011 | Anishia Wiley | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1467967620 | Rebekah Rayburn | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1922521962 | Soraida Herring | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-07-21 |
| 1477952489 | Mary Wyzard | Marriage & Family Therapist | 805 Highway 589, Purvis, MS 39475-4194 | 2014-08-14 |
| 1972902047 | Brandy Denson | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2014-08-14 |
| 1760881825 | Allison Scott | Social Worker | 805 Highway 589, Purvis, MS 39475-4194 | 2014-08-14 |
| 1174809891 | Stacy White | Marriage & Family Therapist | 805 Highway 589, Purvis, MS 39475-4194 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986556 | Terrace Hill Dental Center Pllc | Dentist | 271 Hwy 589, Purvis, MS 39475 | 2016-12-07 |
| 1831469683 | Freds Stores of Tennessee Inc | Pharmacy | 509 Hwy 589, Purvis, MS 39475 | 2012-01-11 |
| 1154600120 | Shannon Love | Counselor | 89 Brewer Rd, Purvis, MS 39475 | 2011-08-09 |
| 1881992055 | Pearl River County Hospital | Family Medicine | 104 Highway 589, Purvis, MS 39475 | 2011-03-11 |
| 1740512102 | Burge Managment & Marketing, LLC | Durable Medical Equipment & Medical Supplies | 177 Shelby Speights, Suite C, Purvis, MS 39475 | 2010-02-09 |
| 1104151265 | Humphreys Dental, LLC | Dentist | 444 Shelby Speights Drive, Purvis, MS 39475 | 2009-10-07 |
| 1013149384 | Michelle E Howard | Marriage & Family Therapist | 143 N Windridge Lane #b, Purvis, MS 39475 | 2009-08-19 |
| 1811162324 | Lamar County School District | Registered Nurse | 213 School Street, Purvis, MS 39475 | 2008-04-25 |
| 1023283645 | Lamar County School District | Registered Nurse | 5402 U S Highway 11, Purvis, MS 39475 | 2008-04-24 |
| 1457568503 | Richard D. Vincent | Dentist | 444 Shelby Speights Dr., Purvis, MS 39475 | 2007-05-17 |
| Find all providers in zip 39475 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588179733 | Elizabeth Jackson | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1871008011 | Anishia Wiley | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1467967620 | Rebekah Rayburn | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-12-11 |
| 1922521962 | Soraida Herring | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2017-07-21 |
| 1972902047 | Brandy Denson | Counselor | 805 Highway 589, Purvis, MS 39475-4194 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1710598586 | Candace L. Gillespie | Counselor | 829 W South St, Mound Bayou, MS 38762-9797 | 2020-08-13 |
| 1114537651 | Renee Gusta | Counselor | 2367 Trafalgar Dr, Biloxi, MS 39531-2277 | 2020-08-07 |
| 1003424078 | Marquita Lachette Wilson | Counselor | 315 N Madison St, Kosciusko, MS 39090-3341 | 2020-07-16 |
| 1437773546 | Delissa L Castleberry | Counselor | 7112 Home of Grace Dr, Gautier, MS 39553-2728 | 2020-06-04 |
| 1942820717 | Cindy Marie Lescallette Mccarley | Counselor | 295 Willow Creek Dr, Vicksburg, MS 39183-9288 | 2020-04-22 |
| 1689202178 | Nicole Lynn Yenter | Counselor | 800 Van Buren Ave, Oxford, MS 38655-3844 | 2020-03-30 |
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1760022313 | Kyra Reed | Counselor | 3530a Manor Dr Ste 5, Vicksburg, MS 39180-5693 | 2020-01-12 |
| Find all providers with the same taxonomy | ||||
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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.