MR. JASON C SMITH (NPI# 1801029772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801029772 |
| Entity Type | Individual |
| Full Name | MR. JASON C SMITH |
| Credential | LMFT |
| Practice Address |
111 S 1st St Ste 160 Madison WI 53704-5246 |
| Practice Telephone | (608) 977-1864 |
| Practice Fax Number | 6082552752 |
| Mailing Telephone | (608) 977-1864 |
| Mailing Fax Number | 6082552752 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 166.001089 | IL | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 949-124 | WI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 1889 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874250 | Jason Joseph Smith | Nurse Practitioner | 60 Meadowlark Dr, Penfield, NY 14526-2036 | 2020-06-08 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1033695564 | Jason Smith | Nurse Practitioner | 413 Sanner St, Edwardsville, IL 62025-1080 | 2018-07-18 |
| 1619335429 | Jason Smith | Social Worker | 1025 Se 23rd St, Okeechobee, FL 34974-5362 | 2016-02-08 |
| 1013374289 | Jason Smith | Physical Therapy Assistant | 960 S Logan St Apt 101, Denver, CO 80209-4148 | 2016-01-19 |
| 1902273394 | Jason Richard Smith | Physical Therapist | 300 E College Way Ste B, Mount Vernon, WA 98273-5429 | 2015-09-01 |
| 1083006670 | Jason T. Smith | Physician Assistant | 4419 Bearberry Ave, Baytown, TX 77521-1677 | 2015-02-19 |
| 1790183010 | Jason Smith | Technician | 19 Oracle Ct, Sacramento, CA 95823-4086 | 2014-12-18 |
| 1982016648 | Jason Smith | Student in an Organized Health Care Education/Training Program | 8809 Furlong Dr Apt 3, Louisville, KY 40242-7510 | 2014-05-28 |
| 1780016485 | Jason Smith | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-05 |
| Street Address |
111 S 1ST ST STE 160 |
| City | MADISON |
| State | WI |
| Zip Code | 53704-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
| 1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
| 1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1083241723 | Tammey Rooney | Marriage & Family Therapist | 4 Grove Ave, Madison, CT 06443-3225 | 2020-03-24 |
| 1639702970 | Sheila Jane Mccabe | Marriage & Family Therapist | 1205 Saunders Ave, Madison, TN 37115-5118 | 2020-02-14 |
| 1881232189 | Redwood Family Therapy LLC | Marriage & Family Therapist | 6402 Odana Rd Ste 106, Madison, WI 53719-1123 | 2019-12-17 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1457993057 | Joseph Stephen Leonard | Marriage & Family Therapist | 8025 Excelsior Dr Ste 110, Madison, WI 53717-2902 | 2019-10-15 |
| 1720637507 | Mikayla T Phan | Marriage & Family Therapist | 437 S Yellowstone Dr Ste 212, Madison, WI 53719-1061 | 2019-09-05 |
| Find all providers in MADISON | ||||
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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.