ANTOINETTE KATHLEEN SMITH (NPI# 1639656275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639656275 |
| Entity Type | Individual |
| Full Name | ANTOINETTE KATHLEEN SMITH |
| Credential | AAC, CDPT |
| Practice Address |
1616 S Gold St Ste 4 Centralia WA 98531-8930 |
| Practice Telephone | 3608074929 |
| Practice Fax Number | 3608074160 |
| Mailing Telephone | 3608074929 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60802177 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CG60783142 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326696378 | Antoinette Cheryl Smith | Technician | 2006 Se 18th St, Homestead, FL 33035-1957 | 2019-09-03 |
| 1245612555 | Antoinette Smith | Licensed Practical Nurse | 34090 Pinewoods Cir Apt 206, Romulus, MI 48174-8215 | 2015-06-23 |
| 1801135231 | Antoinette Nicole Smith | Spec/Tech, Health Info | 703 Locust St, Jacksonville, FL 32205-5618 | 2013-02-05 |
| 1225690548 | Antoinette Marie Smith | Physician Assistant | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2019-07-08 |
| 1366000523 | Antoinette Marie Smith | Behavior Technician | 2086 S Custer Rd, Monroe, MI 48161-1831 | 2019-06-03 |
| 1689130726 | Antoinette Smith | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2019-02-13 |
| 1073066114 | Antoinette Marie Smith | Behavioral Analyst | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2016-07-25 |
| Street Address |
1616 S GOLD ST STE 4 |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-8930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003183989 | Layla M. Bushee | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2011-11-21 |
| 1578162079 | Brittyn J Flick | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2020-10-26 |
| 1225515844 | Ann Marie Shoddy | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-26 |
| 1679050181 | Morgan Robbins Lindbergh | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-0001 | 2018-07-26 |
| 1497232060 | Jerry Dean Clark | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-25 |
| 1962989525 | Vicky Anne Gee | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113041 | Cortney Nicole Jensen | Counselor | 1611 Kresky Ave Ste 114, Centralia, WA 98531-8982 | 2019-06-17 |
| 1831629476 | Chad Eric Holmes | Counselor | 1616 S. Gold St. #4, Centralia, WA 98531-0001 | 2017-06-15 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1932447745 | Amanda Winchell | Counselor | 904 Mlk Dr, Centralia, IL 62801 | 2013-01-29 |
| 1508098930 | Jessica Lynn Stickley | Counselor | 1641 Kresky Ave, Centralia, WA 98531 | 2009-08-18 |
| 1003037557 | Travis Merrell Trone I | Counselor | 628 Tracy Ter, Centralia, IL 62801-4478 | 2007-05-01 |
| 1710539747 | Esther V Lloyd | Counselor | 1611 Kresky Ave Ste 114, Centralia, WA 98531 | 2019-07-10 |
| 1700359411 | Tonja Evonne Vernon | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-04 |
| 1225515844 | Ann Marie Shoddy | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-26 |
| 1497232060 | Jerry Dean Clark | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-25 |
| Find all providers in CENTRALIA | ||||
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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.