Jo Ellen Smoak

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

115 Carter Park Dr
Seneca, SC 29678-1152

Phone

(864) 885-0157

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, SC
  • NPI 1508814625
  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1326544172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252104",
            "telephone_number": "864-965-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CARTER PARK DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOAK",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Smith, COTA/L
• Rebecca Smith
• Stephen Lecil Smith, RPH
• Tracie D Smith, N.P.
• Vanessa Anne Smith, A-GNP
• Hampton Leroy Snead, PA C
• SNH SC Tenant LLC
• Shannon Marie Somerville, CCC-SLP
• South Carolina Cardiology Consultants, PA
• South Carolina CVS Pharmacy LLC

• All providers in Seneca, SC
• Peer Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.