Chrissy Smith LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHRISSY SMITH LCSW LLC

Practice address

3526 N California Ave Ste 101
Peoria, IL 61603-1143

Phone

(309) 431-2411

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Chrissy Snith, LCSW

Title

LCSW, Owner

Phone

(309) 369-1537

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina A Smith, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Peoria, IL
  • NPI 1750603189
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1821695149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 N ANDOVER CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152810",
            "telephone_number": "309-369-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 N CALIFORNIA AVE STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031143",
            "telephone_number": "309-431-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISSY SMITH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "SNITH",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "309-369-1537",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chrissysmithlcsw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3526 N California Ave Ste 101",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616031143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John J Chobanian, MBC HIS
• Meghan K Chockley, PT
• Mrunal Gautam Chokshi, PT
• Peter D Chong III, PT, DPT
• Thomas TSZ Him Chow, DO
• Maggie Helen Christ, AGACNP
• Sarah Christensen, PA-C
• Amy Christison, MD
• Noah Christopher
• Herminia Josefina Christy, LCSW

• Community/Behavioral Health Agency in Peoria, IL
• Providers in Peoria, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.