MR. GEORGE ALVIN SMITH (NPI# 1750409165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750409165 |
| Entity Type | Individual |
| Full Name | MR. GEORGE ALVIN SMITH |
| Credential | MA, LCPC, CSADC |
| Practice Address |
50 Northgate Ind. Dr Granite City IL 62040 |
| Mailing Address |
3149 Fehling Rd Granite City IL 62040-3633 |
| Practice Telephone | 6188774420 |
| Practice Fax Number | 6188770904 |
| Mailing Telephone | 6184523032 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180.003531 | IL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
180-003531 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180-003531 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659909836 | George Smith | Counselor | 25 Vreeland Rd # A, Florham Park, NJ 07932-1902 | 2020-04-01 |
| 1871838144 | George Louis Smith | Registered Nurse | 17620 Nw 63rd Ct, Hialeah, FL 33015-4484 | 2012-11-27 |
| 1063709418 | George Rayford Smith II | Nurse Anesthetist, Certified Registered | 215 Marion Dr., Mccomb, MS 39648-4040 | 2011-07-06 |
| 1669610788 | George John Smith | Surgery | 1020 Christine St, Pampa, TX 79065-5454 | 2009-01-27 |
| 1205085412 | George W.j. Smith | Psychiatry & Neurology | 5457 Cottonwood Club Dr, Salt Lake City, UT 84117-7549 | 2008-09-11 |
| 1487834909 | George Byron Smith | Nurse Practitioner | 2605 W Swann Ave Ste 600, Tampa, FL 33609-4044 | 2007-11-13 |
| 1811108715 | George Scott Smith | Dentist | 161 Hibbard St, Suite 201, Pikeville, KY 41501-1708 | 2007-05-24 |
| 1003935792 | George Patrick Smith | Counselor | 730 S Dargan St, Apt 4-d, Florence, SC 29506-2563 | 2007-03-27 |
| 1750426920 | George Leon Smith IIi | Family Medicine | 4166 A Newton Drive, Covington, GA 30014 | 2007-02-21 |
| 1629160718 | George W Smith IIi | Dentist | 602 S. Main, Boerne, TX 78006 | 2006-09-28 |
| Street Address |
50 NORTHGATE IND. DR |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| 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 |
|---|---|---|---|---|
| 1487280616 | Haley Staats | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-03-19 |
| 1861027724 | Anne Marie Calvert | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-03-11 |
| 1487286720 | John Ritcheson | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-02-05 |
| 1235779208 | Candyce Hurd | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2020-01-08 |
| 1871061457 | Dominique Begnaud | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2018-11-13 |
| 1700353679 | Lynn Sewester Underwood | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2018-10-30 |
| 1699257998 | Stephanie Michelle Thomas | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2018-09-04 |
| 1245741818 | Lainie Joy Barron | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2017-10-23 |
| 1619405883 | Sabryn Cox | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2017-05-31 |
| 1922551837 | Brent Cummins | Counselor | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2016-07-27 |
| Find all providers in GRANITE CITY | ||||
| City | GRANITE CITY |
| Zip Code | 62040 |
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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.