Terrance Anthony Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

167554 Issued in OH

Practice address

200 Daruma Pkwy
Moraine, OH 45439-7909

Phone

(937) 262-3515

Fax

(937) 496-5274

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1093200594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ARLENE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062342",
            "telephone_number": "937-312-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DARUMA PKWY",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454397909",
            "telephone_number": "937-262-3515",
            "fax_number": "937-496-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERRANCE",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "167554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah N Smith, LSW
• Nancy J Smith, DO
• Samantha Smith
• Stephanie Renee Smith
• Suzanne Smith, LSW
• Risa Lynne Smyer, BSW, LSW
• Susan Allison Snare, PCC
• Demetrius Snoddy, BSW, LSW
• Danyelle Snyder
• Lathe Earl Snyder, L.S.W

• Addiction (Substance Use Disorder) Counselor in Moraine, OH
• Providers in Moraine, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.