MRS. INDIA I. SMITH (NPI# 1871755736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871755736 |
| Entity Type | Individual |
| Full Name | MRS. INDIA I. SMITH |
| Credential | LPC |
| Practice Address |
602 Yale Pl Canon City CO 81212-4611 |
| Practice Telephone | 7192750700 |
| Practice Fax Number | 7198962874 |
| Mailing Telephone | 7192750700 |
| Mailing Fax Number | 7198962874 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2018-12-13 |
| 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) |
OK | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
0013692 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Ne Ave A, Idabel, OK 747453813 | 5802863301 | 5802866385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073046256 | India Smith | Student in an Organized Health Care Education/Training Program | 1010 Vermont Ave Nw, Ste 1003, Washington, DC 20005 | 2017-04-05 |
| Street Address |
602 YALE PL |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934896 | Valley-wide Health Systems, Inc | Clinic/Center | 602 Yale Pl, Canon City, CO 81212-4611 | 2005-09-30 |
| 1093354680 | Gateway To Success, PC | Clinic/Center | 602 Yale Pl, Canon City, CO 81212-4611 | 2019-12-30 |
| 1033693049 | Alan Donald | Counselor | 602 Yale Pl, Canon City, CO 81212-4611 | 2018-09-17 |
| 1942710157 | Amber Irving | Counselor | 602 Yale Pl, Canon City, CO 81212-4611 | 2017-10-03 |
| 1124578257 | David W. Anderson | Counselor | 602 Yale Pl, Canon City, CO 81212-4611 | 2016-10-13 |
| 1629422290 | Gateway To Success, PC | Clinic/Center | 602 Yale Pl, Canon City, CO 81212-4611 | 2016-04-20 |
| 1952719379 | Heather Leigh Manning | Nurse Practitioner | 602 Yale Pl, Canon City, CO 81212-4611 | 2014-07-29 |
| 1043547219 | Betty Ann Krenson | Nurse Practitioner | 602 Yale Pl, Canon City, CO 81212-4611 | 2009-11-10 |
| 1053479402 | Robert Joseph Bennett Jr. | Family Medicine | 602 Yale Pl, Canon City, CO 81212-4611 | 2006-12-05 |
| 1679562763 | Frank Bevacqua | Physician Assistant | 602 Yale Pl, Canon City, CO 81212-4611 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750742920 | Calvin Robinson | Counselor | 1320 S 12th St, Canon City, CO 81212-4232 | 2016-03-15 |
| 1972921336 | Laurie Schwiem | Counselor | 2010 East Bijou St., Canon City, CO 81212-9380 | 2014-04-02 |
| 1811333172 | Brooke J Beckham | Counselor | 831 Royal Gorge Blvd Ste 217, Canon City, CO 81212-6709 | 2013-05-14 |
| 1477700565 | Canon City Counseling, Inc | Counselor | 224 N Cottonwood Ave, Canon City, CO 81212-2507 | 2008-08-20 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1487294955 | Brandy Lachelle Alvidrez | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2020-01-13 |
| 1265901821 | Taletha Higginbotham | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2018-11-13 |
| 1033693049 | Alan Donald | Counselor | 602 Yale Pl, Canon City, CO 81212-4611 | 2018-09-17 |
| 1073015368 | Laura Kristie Taylor | Counselor | 3239 Independence Rd, Canon City, CO 81212-9380 | 2018-03-02 |
| 1962902437 | Nicole Isabell Palacios | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2018-02-20 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on MRS. INDIA I. 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.