Edward Daniel Smith Jr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RT1419680925 Issued in CA

Practice address

1124 Baker St
Bakersfield, CA 93305-4322

Phone

(661) 327-9376

NPI assigned

Nov 14, 2025

Sex

Male

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.

• Comminity Services Organization Brotherhood Center

  • Addiction (Substance Use Disorder) Counselor
  • Bakersfield, CA
  • NPI 1851795934
  NPD (past)
• Community Service Organization Behavioral Health Program

  dba Brotherhood Center

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1851427322
  NPD (past)

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1487514071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 KENTUCKY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054364",
            "telephone_number": "661-327-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BAKER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054322",
            "telephone_number": "661-327-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RT1419680925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Smith
• Deanne Renee Smith
• Denise Lorraine Smith, R.N., PHN
• Dion Smith
• Donald Eugene Smith, FACT
• Elizabeth Joyce Smith
• Geoff T Smith, MPT
• Heather Marie Smith
• Jacob Smith, CRNA
• Jacqueline Smith, LMFT

• 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 Nov 14, 2025; 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.