Sara Rebecca Smith, PEER SUPPORT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005489 Issued in OH

Practice address

1201 Long St Apt 6a
Troy, OH 45373-3785

Phone

(937) 723-1374

NPI assigned

Sep 9, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1952137705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LONG ST APT 6A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733785",
            "telephone_number": "937-723-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LONG ST APT 6A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733785",
            "telephone_number": "937-723-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "middle_name": "REBECCA",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SL Troy, LLC
• Caryn Scott Smith, LPCC
• Charles N Smith, CRNA
• Marie Nicole Smith, RN, CNS
• Payton Smith, PA-C
• Shane Smith, M.D.
• Tera Smith
• Kimberly Smock, PTA
• Molly Jo Snow
• Ajay Paul Sodhi, MD

• Peer Specialist in Troy, OH
• Providers in Troy, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.