BRANDON SCOTT SMITH (NPI# 1881163988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881163988 |
| Entity Type | Individual |
| Full Name | BRANDON SCOTT SMITH |
| Credential | CDCA |
| Practice Address |
350 S Irwin Road Holland OH 43528 |
| Mailing Address |
2823 Cherry St Toledo OH 43608-1713 |
| Practice Telephone | 5677036064 |
| Mailing Telephone | 4198604570 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
168631 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967556 | Brandon Shane Smith | Registered Nurse | 2630 Dumaine St, New Orleans, LA 70119-3420 | 2020-09-23 |
| 1255947255 | Brandon Smith | Nurse Practitioner | 5067 Camden St, Chubbuck, ID 83202-3501 | 2020-09-16 |
| 1982248530 | Brandon Smith | Massage Therapist | 1324 Stoystown Rd, Friedens, PA 15541-7504 | 2019-11-06 |
| 1114583432 | Brandon Tyler Smith | Student in an Organized Health Care Education/Training Program | 21 Bronson Way, Skillman, NJ 08558-1657 | 2019-05-13 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1801333471 | Brandon Smith | Specialist/Technologist | 133 Eagle Ct, Mooresville, NC 28117-8022 | 2017-01-20 |
| 1376959932 | Brandon L. Smith | Dentist | 738 E Spring St, Cookeville, TN 38501-4230 | 2014-07-03 |
| 1669897161 | Brandon Smith | Counselor | 1815 W 58th St, Tulsa, OK 74107-8429 | 2014-02-20 |
| Street Address |
350 S IRWIN ROAD |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| 1154849511 | Teresa Nickole Dennis | Counselor | 6648 South Ave, Holland, OH 43528 | 2017-09-06 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1841780921 | Timothy Patrick Murphy | Counselor | 6202 Trust Dr, Holland, OH 43528-8425 | 2018-05-15 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1154849511 | Teresa Nickole Dennis | Counselor | 6648 South Ave, Holland, OH 43528 | 2017-09-06 |
| 1821516659 | Todd Bieber | Counselor | 6202 Trust Drive, Holland, OH 43528 | 2017-08-31 |
| 1992238141 | Jamie Robinson-perrin | Counselor | 350 S. Irwin Rd., Holland, OH 43528 | 2017-04-05 |
| 1699214171 | Kim Brown | Counselor | 7015 Spring Meadows West Drive, Suite 102, Holland, OH 43528 | 2017-02-17 |
| 1932569407 | William Rietveld | Counselor | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-02-26 |
| 1013376326 | Sonia Rae Horwitz | Counselor | 82 Buck Rd Ste 2, Holland, PA 18966-1751 | 2016-02-15 |
| 1720140585 | Linda M Dryfhout | Counselor | 729 Lincoln Ave, Holland, MI 49423-5428 | 2006-12-15 |
| Find all providers in HOLLAND | ||||
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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.