Dominica L Smith, CAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6271 Issued in CO

Practice address

8801 Lipan St
Thornton, CO 80260-4912

Phone

(303) 412-3769

Fax

(303) 412-3358

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1538404900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 LIPAN ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604912",
            "telephone_number": "303-412-3769",
            "fax_number": "303-412-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 LIPAN ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604912",
            "telephone_number": "303-412-3769",
            "fax_number": "303-412-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOMINICA",
        "middle_name": "L",
        "credential": "CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Lee Smith, MS
• Brittany M Smith
• Constance Smith, WORKING ON MY LPC
• Crystal Smith
• David Michael Smith, PH.D.
• Gerald R. Smith, D.D.S.
• Heather Smith, PH.D.
• Janelle Smith
• Jessica Smith, MA
• Kelly Carol Smith, MS

• Addiction (Substance Use Disorder) Counselor in Thornton, CO
• Providers in Thornton, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.