Jeffery Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1962637512 Issued in CA

Practice address

4991 E McKinley Ave Ste 112
Fresno, CA 93727-1966

Phone

(559) 981-2143

NPI assigned

Jul 29, 2013

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

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.

• Dunamis Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
  • NPI 1750723193
  NPD (past)
• Dunamis, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1437574357
  NPD (past)

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1497197669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271966",
            "telephone_number": "559-981-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271966",
            "telephone_number": "559-981-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFERY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "1962637512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1962637512",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Alan Smith, MD
• H Dan Smith, MFT
• Jamie Smith
• Jared Smith, LCSW
• Jeanette Smith
• Jennifer Toler Smith, PSY.D.
• Jerry Smith, MD
• Jervy William Smith, OD
• Juanita Rachel Smith, RN
• Julian Shane Smith, M.D.

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, 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 Jul 29, 2013; 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.