Eugene Neal Smith Sr., CADC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A033450616 Issued in CA

Practice address

6860 Brockton Ave Ste 9
Riverside, CA 92506-3816

Phone

(951) 224-9940

Fax

(951) 535-5931

NPI assigned

Jan 6, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1487924544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 BROCKTON AVE STE 9",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063816",
            "telephone_number": "951-224-9940",
            "fax_number": "951-535-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 BROCKTON AVE STE 9",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063816",
            "telephone_number": "951-224-9940",
            "fax_number": "951-535-5931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68100 Ramon Rd Ste B10",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922343388",
            "country_code": "US",
            "telephone_number": "760-321-0870 x105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EUGENE",
        "middle_name": "NEAL",
        "name_suffix": "Sr.",
        "credential": "CADC-II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A033450616",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "REGISTERED RECOVERY",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Leonard Smith, LMFT, LPCC, PHD
• Dominique Desiree Smith
• Ebonye Smith
• Erica Smith
• Erik Smith
• Hayley Smith
• James Ellsworth Smith, DDS
• Jane Smith
• Jeff Khai Smith
• Jennifer Ann Smith, FNP

• Addiction (Substance Use Disorder) Counselor in Riverside, CA
• Providers in Riverside, 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 Jun 2, 2022; 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.