JEREMIAH T SMITH (NPI# 1063046043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063046043 |
| Entity Type | Individual |
| Full Name | JEREMIAH T SMITH |
| Practice Address |
4269 Pearl Rd Fl 3 Cleveland OH 44109-4234 |
| Practice Telephone | 2164314131 |
| Mailing Telephone | 2164314131 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740771468 | Jeremiah Ryan Smith | Behavioral Analyst | 274 S Ash St, Ventura, CA 93001-2923 | 2018-05-29 |
| 1598029639 | Jeremiah Hawkes Smith | Foster Care Agency | 682 S Main, Suite 4, Brigham City, UT 84302 | 2012-07-03 |
| 1891195855 | Jeremiah A Smith | Pharmacist | 5804 Bee Ridge Rd, Sarasota, FL 34233-5051 | 2014-08-27 |
| 1033525613 | Jeremiah Smith | Pharmacist | 101 Green Springs Hwy, Birmingham, AL 35209-4903 | 2014-07-03 |
| 1790039188 | Jeremiah Shane Smith | Nurse Practitioner | 605 Glenwood Drive, Suite 105, Chi Memorial Thoracic Oncology Associates, Chattanooga, TN 37404 | 2012-11-07 |
| 1891921748 | Jeremiah Cody Smith | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2009-06-05 |
| 1871753772 | Jeremiah Paul Smith | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2008-06-13 |
| 1982863270 | Jeremiah Duane Smith | Pediatrics | 701 Grove Rd, Greenville, SC 29605-4210 | 2008-06-03 |
| Street Address |
4269 PEARL RD FL 3 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775214 | Linda Gambrell | Case Manager/Care Coordinator | 4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234 | 2019-11-25 |
| 1871129239 | Breonna Ross | Case Manager/Care Coordinator | 4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234 | 2020-03-18 |
| 1669006482 | Shireen Ayman Nijim | Case Manager/Care Coordinator | 4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234 | 2020-03-02 |
| 1790322337 | Arriana Christina Yezzi | Case Manager/Care Coordinator | 4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1417514654 | Green Acres Counseling and Group Services LLC | Counselor | 17325 Euclid Ave Ste 4031, Cleveland, OH 44112-1270 | 2019-05-23 |
| 1215592373 | Sherree Owens | Counselor | 391 Broad St Nw # 201, Cleveland, TN 37311-5039 | 2019-05-04 |
| 1255995080 | Carl Kappenhagen | Counselor | 4350 W 28th St, Cleveland, OH 44109-4167 | 2019-04-26 |
| 1962066050 | Ayona Kemp | Counselor | 17105 Holly Hill Dr, Cleveland, OH 44128-2523 | 2019-04-24 |
| 1609345479 | Fm Speech Therapy LLC | Counselor | 2529 Detroit Ave Ste 136, Cleveland, OH 44113-2701 | 2018-11-21 |
| 1043705155 | Lizzette M. Jordan | Counselor | 12104 Oakfield Ave, Cleveland, OH 44105-1929 | 2018-06-30 |
| 1841656394 | William Clarence Washington | Counselor | 17618 Brazil Rd, Cleveland, OH 44119-1903 | 2016-01-13 |
| 1447629126 | Optimal Behavioral, LLC | Counselor | 1311 Catherine Dr, Cleveland, TN 37312 | 2015-09-23 |
| 1609243591 | Refuge Ministries Development | Counselor | 13924 Bartlett Ave, Cleveland, OH 44120-4718 | 2015-08-26 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.