Denise Susanne Smith, AA, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC1355 Issued in AZ

Practice address

382 E Wilcox Dr
Sierra Vista, AZ 85635-2528

Phone

(520) 459-2290

Fax

(520) 459-5372

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Associate of Arts

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942391263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N ARROYO BLVD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212644",
            "telephone_number": "520-287-4713",
            "fax_number": "520-287-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352528",
            "telephone_number": "520-459-2290",
            "fax_number": "520-459-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENISE",
        "middle_name": "SUSANNE",
        "name_prefix": "Ms.",
        "credential": "AA, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC1355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ AHCCCS",
            "identifier": "917536",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donny T Small Jr., CRNA
• Kyle Smart
• Kyla Christine Smirni
• Smith Chiropractic
• Capacstreal Smith, RN
• Dustin Andrew Smith, FNP-C
• Elizabeth Smith, ANP
• Jennifer Hale Smith, M.D.
• Jessica Smith, LMSW
• Kelly Brett Smith, D.C.

• Addiction (Substance Use Disorder) Counselor in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.