Tina M Smith, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00006295 Issued in WA

Practice address

2502 Tacoma Ave S
Tacoma, WA 98402-1310

Phone

(253) 759-0852

NPI assigned

Nov 29, 2010

Sex

Female

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

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.

• Community Counseling Institiute

  • Specialist
  • Tacoma, WA
  • NPI 1215130166
  NPD (past)
• Community Counseling Institute

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1538467907
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1396047163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W 2ND ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204506",
            "telephone_number": "360-533-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021310",
            "telephone_number": "253-759-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen James Smith, PHARMD
• Steven Smith, CDP
• Susan Gail Smith, RN, CDE, BC-ADM
• Taaliyah Lanette Smith
• Tamara Sue Smith, LMP
• Toby Daniel Smith, PHARMD
• Travis J Smith, PHARMD
• Tyler James Smith, DPT
• Valerie Smith
• Verlynna K Smith, LP00042039

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.