Carressa Ann Smith, LPCC, LICDC
Individual provider Active NPI Counselor · Crescent Springs, KY
NPI 1891004487 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1891004487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C0900048 (OH)
- Practice address
- 541 Buttermilk Pike Ste 105
Crescent Springs, KY 41017 - Phone
- (513) 477-3111
- Fax
- (859) 485-8594
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0900048 | OH | MD | Counselor |
| 071020 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 071020 | OH | |
| Counselor | 101Y00000X | C0900048 | OH | Yes |
Addresses
Primary practice location
541 Buttermilk Pike Ste 105
Crescent Springs, KY 41017
Mailing address
3515 Werk Rd
Cincinnati, OH 45248-6229
Phone (513) 477-3111
Other practice location 1
3515 Werk Rd
Cincinnati, OH 45248-6229
Phone (513) 477-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1252273 | Other | OH | CAQH |
Other providers in Crescent Springs, KY
- Hailey Marie Riegler
- Guadalupe Rojas Krol
- Mohammad Jay Sadrinia
- Denise Schickling
- Zarina M Shaikh
- Sprout Therapy Services
- Jenna Stewart
- Jamie Michelle Stumbo
- Rachel Thiem
- Tristate Hospitalist
All providers in Crescent Springs, KY · Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.