Steven Smith Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IC-1705 Issued in NV

Practice address

3085 S Jones Blvd Ste D
Las Vegas, NV 89146-6767

Phone

(702) 888-0036

NPI assigned

Jan 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Mental Health Support Services, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1871734772
  NPD
• Southern Nevada Children First

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1437384229
  NPD (past)
• Southern Nevada Children First

  • Mental Illness Community Based Residential Treatment Facility
  • North Las Vegas, NV
  • NPI 1457760464
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1295007813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 S JONES BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466767",
            "telephone_number": "702-888-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 S JONES BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466767",
            "telephone_number": "702-888-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "IC-1705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102698434",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sirivireeo Smith
• Sonya Denice Smith
• Stacey Ann Smith, M.S.
• Starre Smith
• Stephanie Smith
• Susan Smith, PA-C
• Susan Marie Smith, OTR/L
• Suzette Smith
• Ta-Keisha Smith
• Tajae Smith

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.