Rebecca Lee Smith, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.178854 Issued in OH

Practice address

1757 Indian Wood Cir
Maumee, OH 43537-4009

Phone

(419) 740-1814

Fax

(419) 318-1603

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Midwest Detox Center LLC

  • Substance Abuse Rehabilitation Facility
  • Maumee, OH
  • NPI 1003337734
  NPD (past)
• Midwest Detox Center LLC

  • Substance Abuse Rehabilitation Facility
  • Maumee, OH
  • NPI 1033608195
  NPD (past)

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1821754110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 REISTERSTOWN RD FL 3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 INDIAN WOOD CIR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374009",
            "telephone_number": "419-740-1814",
            "fax_number": "419-318-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7540 New West Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436174200",
            "country_code": "US",
            "telephone_number": "866-203-0308",
            "fax_number": "855-686-6642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4747 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234307",
            "country_code": "US",
            "telephone_number": "419-740-5709",
            "fax_number": "419-740-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.178854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Smith, RBT
• Gary F Smith, DC
• Jared Heath Smith, PHARMD, RPH
• Jason Anthony Smith, DO
• Katelyne Smith, RBT
• Sharkees Smith, LPN
• Stephanie L Smith, CDCA
• Jonathan Snyder, PA
• Sophia Soeder
• Shari Sontchi, MD

• Addiction (Substance Use Disorder) Counselor in Maumee, OH
• Providers in Maumee, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

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