Active NPI
Darryl Glen Smith
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1912232109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7741
- Practice address
- 1204 W Shaw Ave Ste 102
Fresno, CA 93711-3706 - Phone
- (559) 681-1947
- NPI assigned
- Oct 6, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fresno, CA
- NPI 1295972446
-
- Substance Abuse Rehabilitation Facility
- Fresno, CA
- NPI 1720221443
Case Manager/Care Coordinator
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central California Recovery | Past | Accepting new patients | |
| Comprehensive Addiction Programs Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7741 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1204 W Shaw Ave Ste 102
Fresno, CA 93711-3706
Mailing address
3609 Rocky Bottom St
Madera, CA 93637-8893
Phone (559) 994-2212
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7741 | Other | CA | CADTP SUD CERTIFICATION SUDCC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2025.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1912232109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 ROCKY BOTTOM ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936378893",
"telephone_number": "559-994-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W SHAW AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113706",
"telephone_number": "559-681-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DARRYL",
"middle_name": "GLEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "7741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADTP SUD CERTIFICATION SUDCC",
"identifier": "7741",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.