Ben Smith, ALCHOHOL AND DRUG CO

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC648 Issued in AL

Practice address

3104 Blue Lake Dr Ste 100
Vestavia, AL 35243-2372

Phone

(205) 977-3003

Fax

(205) 977-3939

NPI assigned

May 13, 2021

Sex

Male

Sole proprietor

Yes

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)

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.

• Wellspring Christian Clinic, Inc.

  • Clinical Psychologist
  • Vestavia, AL
  • NPI 1962526301
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1851965065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-3003",
            "fax_number": "205-977-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-3003",
            "fax_number": "205-977-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BEN",
        "credential": "ALCHOHOL AND DRUG CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "ADC648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA ALCOHOL AND DRUG ABUSE ASSOCIATION",
            "identifier": "ADC-648",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smfi Therapy, LLC
• Abigail Smith
• Abigail G Smith
• Ashley Megan Smith, CRNP
• Ashley Nicole Smith
• Christina Clem Smith, M.D.
• Jaclyn Merriman Smith, M.C.D., CCC-SLP
• Lawanda Danielle Smith, ALC
• Milton M. Smith III, D.C.
• Natasha Renee Smith

• Addiction (Substance Use Disorder) Counselor in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Addiction (Substance Use Disorder) Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.