MR. FREDRICK QUENTIN SMITH (NPI# 1912450040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912450040 |
| Entity Type | Individual |
| Full Name | MR. FREDRICK QUENTIN SMITH |
| Practice Address |
1856 Renada Cir North Las Vegas NV 89030-5059 |
| Practice Telephone | 8328934470 |
| Mailing Telephone | 8328934470 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205165446 | Fredrick Jennings Smith | Chiropractor | 5801 W Interstate 40, Suite 103, Amarillo, TX 79106 | 2009-12-17 |
| 1801028568 | Fredrick Scott Smith | Counselor | 1704 Via Verde Dr, Rialto, CA 92377-3745 | 2009-08-13 |
| Street Address |
1856 RENADA CIR |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699000 | Bethsabe Surya | Counselor | 3808 Vincelli Ave, North Las Vegas, NV 89031-4811 | 2020-11-04 |
| 1922613025 | Leighann Bode, Lcsw LLC | Counselor | 1117 Cypress Falls Ct, North Las Vegas, NV 89081-2938 | 2020-09-15 |
| 1164049052 | I Am Me Patient Advocate Agency | Counselor | 701 E Bartlett Ave, North Las Vegas, NV 89030-5676 | 2020-06-26 |
| 1194347385 | Battle Health & Wellness Center LLC | Counselor | 2418 Grand Prize Ave, North Las Vegas, NV 89032-3599 | 2020-05-11 |
| 1043847379 | Hands In Harmony Wellness Center LLC | Counselor | 25 W La Madre Way, North Las Vegas, NV 89031-2557 | 2020-03-25 |
| 1003463084 | Gerard Taguiam | Counselor | 7016 Manzanares Dr, North Las Vegas, NV 89084-2344 | 2019-08-23 |
| 1902466964 | Thrive Behavioral Health & Trauma Centers | Counselor | 5135 Camino Al Norte Ste 100, North Las Vegas, NV 89031-2390 | 2019-06-20 |
| 1215490289 | Victoria Kay Dacosta | Counselor | 3450 W Cheyenne Ave Ste 100, North Las Vegas, NV 89032-8223 | 2019-04-08 |
| 1992267082 | Pathways To Learning | Counselor | 580 W Cheyenne Ave Ste C40, North Las Vegas, NV 89030-3967 | 2019-04-05 |
| 1073079208 | Mercedes Lynn Polk | Counselor | 2621 Royal Street, North Las Vegas, NV 89030 | 2019-02-12 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on MR. FREDRICK QUENTIN 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.