SHANE TIMOTHY SMITH (NPI# 1679815484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679815484 |
| Entity Type | Individual |
| Full Name | SHANE TIMOTHY SMITH |
| Practice Address |
4629 Celia Way Apt 202 Bellingham WA 98226-7475 |
| Practice Telephone | 3609295964 |
| Mailing Telephone | 3609295964 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| 1609306158 | Shane Eric Smith | Chiropractor | 1300 E 66th St Ste 100, Richfield, MN 55423-2685 | 2017-06-18 |
| 1396199733 | Shane Todd Smith | Registered Nurse | 725 Rothrock Dr, Galloway, OH 43119-8692 | 2016-04-22 |
| 1972726719 | Shane Smith | Chiropractor | 1380 Long Fellow Ave, Chico, CA 95926 | 2007-04-10 |
| 1821177197 | Shane Smith | Chiropractor | 2301 Berlin Tpke, Newington, CT 06111-3206 | 2006-11-06 |
| 1184705980 | Shane Michael Smith | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2006-10-18 |
| 1003465675 | Shane R Smith | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-09-06 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1124578836 | Shane Smith | Chiropractor | 12313 Gold St, Omaha, NE 68144-2760 | 2016-10-05 |
| 1982157038 | Shane Michael Smith | Dentist | 1804 Old Greensboro Rd, Jonesboro, AR 72401-1896 | 2016-07-25 |
| Street Address |
4629 CELIA WAY APT 202 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-7475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| 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 |
|---|---|---|---|---|
| 1295357952 | Eric A Jenike | Counselor | 75 Lakeshore Dr, Bellingham, MA 02019-2813 | 2020-05-15 |
| 1649891581 | Jessica I Radovich | Counselor | 1101 N State St Ste 201, Bellingham, WA 98225-5066 | 2020-05-01 |
| 1972086494 | Amy N Hurley | Counselor | 36 Box Pond Road, Bellingham, MA 02019-0201 | 2018-09-11 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| 1992258941 | Leslie Baker | Counselor | 1229 Cornwall Ave Ste 302, Bellingham, WA 98225-5023 | 2016-07-26 |
| 1518328319 | Kara Eads | Counselor | 1313 E Maple St Ste 214, Bellingham, WA 98225-5708 | 2016-03-08 |
| 1114318300 | Jeannine Tull | Counselor | 1102 Dondee Ct, Bellingham, WA 98229-2509 | 2015-02-10 |
| 1821404609 | Jacob Hovenier | Counselor | 702 Kentucky St # 391, Bellingham, WA 98225-4200 | 2014-07-01 |
| 1083038046 | Michael Joseph Kearney | Counselor | 57 Yvonne Rd, Bellingham, MA 02019-1027 | 2014-02-11 |
| 1114203320 | Matthew Glen Malcolm | Counselor | 3400 Agate Heights Rd, Bellingham, WA 98226-9472 | 2011-11-01 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
Please comment or provide details below to improve the information on SHANE TIMOTHY 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.