Faison Heathman Smith IV, LCDC, ADCIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1765 Issued in TX

Practice address

801 W Nolana Ave
Suite 101
McAllen, TX 78504-3034

Phone

(956) 994-1428

Fax

(956) 994-1487

NPI assigned

Feb 16, 2007

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

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.

• Recovery Solutions LLC

  • Addiction (Substance Use Disorder) Counselor
  • McAllen, TX
  • NPI 1891839726
  NPD (past) Authorized official
• The Sendero Group PLLC

  • Addiction (Substance Use Disorder) Counselor
  • McAllen, TX
  • NPI 1427359173
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1407990351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 SWALLOW AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044925",
            "telephone_number": "956-630-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W NOLANA AVE",
            "address_2": "SUITE 101",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043034",
            "telephone_number": "956-994-1428",
            "fax_number": "956-994-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FAISON",
        "middle_name": "HEATHMAN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LCDC, ADCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "8840BH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyline EMS Inc.
• SLCT Unlimited LLC
• Smart Ivf, PLLC
• Smile Concepts PA
• Eleonore Yambao Smith, R.N.
• Joanna Smith, COTA
• Katie Smith, PTA
• Laura Smith
• Marian Smith, AU.D.
• William D Snyder, MD

• Addiction (Substance Use Disorder) Counselor in McAllen, TX
• Providers in McAllen, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.