Active NPI
Theresa M. Smiley
- Case Manager/Care Coordinator
- Pickerington, OH
National Provider Identifier
1659123032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235 - Phone
- (440) 538-4564
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Attendant Care Provider | 3747A0650X |
Addresses
Primary practice location
10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235
Mailing address
9209 Grand Division Ave # 9
Cleveland, OH 44125-1353
Phone (440) 538-4564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487170 | Medicaid | OH |
Other names 1
- Theresa Smiley Theresa Smiley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generation2Jeneration | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1659123032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9209 GRAND DIVISION AVE # 9",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441251353",
"telephone_number": "440-538-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 BLACKLICK EASTERN RD",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478235",
"telephone_number": "440-538-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "THERESA",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487170",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA SMILEY",
"last_name": "THERESA SMILEY",
"credential": "QMHS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.