BRYAN WILLIAM SMITH (NPI# 1073802997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073802997 |
| Entity Type | Individual |
| Full Name | BRYAN WILLIAM SMITH |
| Credential | LMFT |
| Practice Address |
1930 Dowling St. Kendallville IN 46755 |
| Practice Telephone | 2603474400 |
| Practice Fax Number | 2603473122 |
| Mailing Telephone | 2603474400 |
| Mailing Fax Number | 2603473122 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000162A | IN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 35001696A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723671 | Bryan Smith | Counselor | 3203 Pine Valley Way, East Stroudsburg, PA 18302-6706 | 2019-04-24 |
| 1548243199 | Bryan David Smith | Urology | 825 Se Bishop Blvd Ste 101, Pullman, WA 99163-5517 | 2005-11-28 |
| 1306834015 | Bryan E Smith | Clinical Neuropsychologist | 5411 Plaza Dr, Suite E, Texarkana, TX 75503-1666 | 2005-10-07 |
| 1558988097 | Bryan James Smith | Behavior Technician | 3781 Bayley Dr Ste B, Lafayette, IN 47905-8657 | 2020-07-01 |
| 1629691357 | Bryan A Smith | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1639716657 | Bryan Gregory Smith | Pharmacist | 1920 Washburn Way, Klamath Falls, OR 97603-4595 | 2019-12-09 |
| 1588138259 | Bryan D Smith | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2019-01-16 |
| 1780152256 | Bryan Taylor Smith | Physical Therapist | 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046-8767 | 2018-11-02 |
| 1184169617 | Bryan Smith | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2016-12-19 |
| 1396101622 | Bryan Smith | Chiropractor | 3107 Stirling Rd, Suite 206, Fort Lauderdale, FL 33312-6565 | 2015-12-31 |
| Street Address |
1930 DOWLING ST. |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| 1285605246 | Joseph Alan Greenlee Jr. | Specialist | 412 N Sawyer Rd, Kendallville, IN 46755 | 2006-01-30 |
| Find all providers in zip 46755 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736559 | Sarah Manjula Lobacz | Marriage & Family Therapist | 1930 Dowling St, Kendallville, IN 46755-9436 | 2008-04-10 |
| 1578733911 | Patrick John Connolly | Marriage & Family Therapist | 109 E Williams St, Kendallville, IN 46755-1743 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1396362919 | Briana N Roberts | Marriage & Family Therapist | 2021 E 84th St Apt 2b, Merrillville, IN 46410-8305 | 2020-06-30 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1093330920 | Ann Marie Ravenna | Marriage & Family Therapist | 54 N 9th St Ste 254, Noblesville, IN 46060-2208 | 2020-06-16 |
| 1770107435 | Lauren Salazar | Marriage & Family Therapist | 54 N 9th St Ste 230, Noblesville, IN 46060-2208 | 2020-05-28 |
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1437785060 | Crystal Jessee | Marriage & Family Therapist | 7230 Arbuckle Cmns Ste 239, Brownsburg, IN 46112-1797 | 2020-03-16 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | KENDALLVILLE |
| Zip Code | 46755 |
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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.