Heidi Smith, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1301 1St Ave N
Fort Dodge, IA 50501-4203

Phone

(515) 408-6779

NPI assigned

Feb 7, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rise Up, LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
  • NPI 1215512512
  NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1720610736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014203",
            "telephone_number": "515-408-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014203",
            "telephone_number": "515-408-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Avenue M W",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015789",
            "country_code": "US",
            "telephone_number": "515-576-7261 x1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEIDI",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413702",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Sigler
• Nalini Singh, DPM
• Brittany Smith
• Diana Beatrice Smith, FNPC-C
• Grace Elizabeth Smith
• Jessica Lynn Smith, RN
• Tierra Marie Smith, LISW
• Andrew Bryant Sonksen, DDS
• Craig Sosby
• Sparrow Counseling LLC

• Addiction (Substance Use Disorder) Counselor in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.