Johnny Lee Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RI-S1311262017 Issued in CA

Practice address

1301 California Ave
Bakersfield, CA 93304-1190

Phone

(661) 324-4756

Fax

(661) 324-1652

NPI assigned

Feb 22, 2007

Last updated

Dec 5, 2014By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bakersfield Recovery Services, Inc.

  dba Jason's Retreat Outpatient

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1144777897

  Addiction (Substance Use Disorder)

  NPD (past)
• Ebony Counseling Center

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1093976086
  NPD (past)
• Ebony Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Bakersfield, CA
  • NPI 1508905266
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1477688133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 KNOTTS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933053043",
            "telephone_number": "661-215-3418",
            "fax_number": "661-325-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041190",
            "telephone_number": "661-324-4756",
            "fax_number": "661-324-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHNNY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-S1311262017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Smith, CRNA
• Jacqueline Smith, LMFT
• Jamacia Smith
• Janice Renee Smith
• Jennifer Denise Smith
• Justin Heath Smith
• Kari Smith
• Katherine M Smith, PH D
• Kevin Smith, RAS
• Kiara Smith, MS, RD

• Addiction (Substance Use Disorder) Counselor in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.