MS. CHRISTINA A SMITH (NPI# 1750603189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750603189 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINA A SMITH |
| Other Name | MS. CHRISTINA A HARMISON |
| Credential | LCSW |
| Practice Address |
3400 W New Leaf Ln Peoria IL 61615-3311 |
| Mailing Address |
600 Fayette Po Box 1346 Peoria IL 61654-1346 |
| Practice Telephone | 3096926900 |
| Practice Fax Number | 3096893086 |
| Mailing Telephone | 3096718000 |
| Mailing Fax Number | 3096718039 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2016-10-07 |
| 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) |
149.013816 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
149.013816 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
149.013816 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546567 | Christina Autumn Smith | Technician | 27062 N 178th Ave, Surprise, AZ 85387-1077 | 2019-09-05 |
| 1699242479 | Christina Ann Smith | Licensed Vocational Nurse | 345 County Road 3705, Bullard, TX 75757-7933 | 2018-10-30 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1851823249 | Christina Smith | Physical Therapist | 9003 Tweed Rd, Richmond, VA 23228-1507 | 2017-04-03 |
| 1760923403 | Christina Louise Smith | Occupational Therapy Assistant | 312 William Clark Dr, Dardenne Prairie, MO 63368-8394 | 2017-03-14 |
| 1548709553 | Christina Smith | Massage Therapist | 20 Trafalgar St, Rochester, NY 14619-1222 | 2017-02-23 |
| 1740734334 | Christina Lynn Smith | Nurse Practitioner | 3001 58th Ter E, Bradenton, FL 34203-5374 | 2016-08-11 |
| 1184093205 | Christina Smith | Case Manager/Care Coordinator | 14300 N May Ave Apt 6103, Oklahoma City, OK 73134-5055 | 2015-09-18 |
| 1104214436 | Christina Smith | Speech-Language Pathologist | 304 E South St Unit 5025, Orlando, FL 32801-3502 | 2015-01-09 |
| 1730581729 | Christina Marie Smith | Nursing Care | 2030 Parkamo Ave, Village of Indian Springs, OH 45015-1274 | 2014-09-22 |
| Street Address |
3400 W NEW LEAF LN |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497981815 | Roger P Anderson | Counselor | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2009-06-01 |
| 1366000911 | Sophia Corrine Soleil Dawson | Social Worker | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2019-05-30 |
| 1750894481 | Julie L Eaton | Counselor | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2017-11-16 |
| 1134506041 | Human Service Center | Community/Behavioral Health | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2015-04-29 |
| 1609268747 | Jacob Ryan Pritchard | Counselor | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2015-02-26 |
| 1245671957 | Corey C Campbell | Social Worker | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2013-07-10 |
| 1295071603 | Marsha K Boythe | Counselor | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2012-12-13 |
| 1750650677 | Human Service Center | Community/Behavioral Health | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2011-12-21 |
| 1427339779 | Emily Michelle Hagman | Social Worker | 3400 W New Leaf Ln, Peoria, IL 61615 | 2011-08-31 |
| 1306136189 | Angela Kopp-sinclair | Counselor | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2011-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749888 | Savoia and Associates | Counselor | 8952 W Salter Dr, Peoria, AZ 85382-2476 | 2018-11-16 |
| 1770015034 | Broken Chains Christian Counseling,inc. | Counselor | 8998 W Ruth Ave, Peoria, AZ 85345-7980 | 2017-03-28 |
| 1386073773 | Edward Scott Ottesen | Counselor | 12471 N 75th Dr, Peoria, AZ 85381-5208 | 2013-11-05 |
| 1598192296 | Nannette Louise Hicks | Counselor | 8727 W Wethersfield Rd, Peoria, AZ 85381-8111 | 2013-09-26 |
| 1497981815 | Roger P Anderson | Counselor | 3400 W New Leaf Ln, Peoria, IL 61615-3311 | 2009-06-01 |
| 1194977264 | Tap Resources Inc. | Counselor | 2390 W Nebraska Ave, Peoria, IL 61604-3111 | 2008-10-21 |
| 1033388566 | Ronald James Lynch | Counselor | 8659 W Lariat Ln, Suite 100, Peoria, AZ 85383-4630 | 2008-02-28 |
| 1407917255 | Victoria Langfahl West | Counselor | 6401 N Sheridan Rd, Suite 104, Peoria, IL 61614-2922 | 2006-12-13 |
| 1104459809 | Prism Counseling LLC | Counselor | 9299 W Olive Ave Ste 212, Peoria, AZ 85345-8382 | 2020-02-20 |
| 1306338926 | Vicky A Snyder | Counselor | 8466 W Peoria Ave Ste 6, Peoria, AZ 85345 | 2018-05-30 |
| Find all providers in PEORIA | ||||
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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.