AMANDA SMITH (NPI# 1891108650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891108650 |
| Entity Type | Individual |
| Full Name | AMANDA SMITH |
| Practice Address |
433 Valley St Willimantic CT 06226-1901 |
| Mailing Address |
37 Commerce Ave Danielson CT 06239-2804 |
| Practice Telephone | 8604567200 |
| Practice Fax Number | 8604567202 |
| Mailing Telephone | 8607747179 |
| Mailing Fax Number | 8607796526 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1689281297 | Amanda Joy Smith | Massage Therapist | 4915 Rue Vallee Apt 89, Indianapolis, IN 46227-6660 | 2020-09-28 |
| 1902422033 | Amanda Elaine Smith | Nurse Practitioner | 116 Tracy Miles Rd, Franklin, IN 46131-5547 | 2020-06-24 |
| 1619500519 | Amanda Leigh Smith | Marriage & Family Therapist | 1012 Greta St, El Cajon, CA 92021-3258 | 2020-02-19 |
| 1245861335 | Amanda Monique Leanne Smith | Massage Therapist | 4400 Bayou Blvd Ste 26b, Pensacola, FL 32503-1908 | 2020-01-28 |
| 1811544414 | Amanda Rae Smith | Behavior Technician | 105 Clubhouse Cir Apt 102, Idaho Falls, ID 83401-4328 | 2019-08-20 |
| 1306400072 | Amanda J Smith | Occupational Therapy Assistant | 8811 Sandy Plains Dr, Riverview, FL 33578-8619 | 2019-04-27 |
| 1861056079 | Amanda Lynn Smith | Nurse Practitioner | 3785 E Stampede Dr, Gilbert, AZ 85297-8203 | 2019-04-24 |
| 1164996864 | Amanda Marie Smith | Student in an Organized Health Care Education/Training Program | 527 12th Ave E Apt 203, Seattle, WA 98102-5114 | 2019-01-15 |
| 1245701796 | Amanda Michelle Smith | Dietitian, Registered | 20 Columbia Pl Apt B045, Brooklyn, NY 11201-4591 | 2018-12-10 |
| Street Address |
433 VALLEY ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235161084 | Olga Selikhov | Nurse Practitioner | 433 Valley St, Willimantic, CT 06226-1901 | 2006-07-06 |
| 1235737065 | Tyler C Beckwith | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-10-14 |
| 1437762192 | Priscilla P Leon | Social Worker | 433 Valley St, Willimantic, CT 06226-1901 | 2020-08-24 |
| 1962042374 | Maria Torres | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-01-14 |
| 1053959692 | Alana B Mendelsohn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-12-13 |
| 1528624525 | Tiffany Kennedy | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-05-15 |
| 1891359501 | Raelene Asselin | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-29 |
| 1942762372 | Kristin Dunn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-04 |
| 1679037592 | Nicole Forrest | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-01-24 |
| 1942796230 | John Tutu | Counselor | 433 Valley St, Willimantic, CT 06226 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487034989 | Alaina Jeanne Brokaw | Counselor | 134 Church St, Willimantic, CT 06226-2612 | 2015-06-01 |
| 1780951392 | Juan Antonio De Jesus | Counselor | 18 Greystone St, Willimantic, CT 06226-3616 | 2011-11-27 |
| 1447739115 | Gabrielle Keene | Counselor | 132 Mansfield Ave, Willimantic, CT 06226-2027 | 2018-08-13 |
| 1710482104 | Christine Louise Rosales | Counselor | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-03-27 |
| 1538696380 | Amanda Neal | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2017-05-11 |
| 1902357999 | Ellen Waltman | Counselor | 132 Mansfield Ave, Willimantic, CT 06226-2027 | 2016-10-14 |
| 1124489851 | Diana Giordano | Counselor | 132 Mansfield Ave, Willimantic, CT 06226-2027 | 2016-03-08 |
| 1831506476 | Juan Carlos Cordero | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2014-07-15 |
| 1073941522 | Kelly Guertin | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2013-10-18 |
| 1619300134 | Ashlee Hollis | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2013-08-20 |
| Find all providers in WILLIMANTIC | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on AMANDA 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.