MR. MARCUS SMITH (NPI# 1073911913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073911913 |
| Entity Type | Individual |
| Full Name | MR. MARCUS SMITH |
| Credential | LPCC |
| Practice Address |
3017 N Prince St Ste B Clovis NM 88101-3804 |
| Mailing Address |
517 Rosewood Dr Clovis NM 88101-9325 |
| Practice Telephone | 5757492792 |
| Practice Fax Number | 8882763843 |
| Mailing Telephone | 5757492792 |
| Mailing Fax Number | 8882763843 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0163181 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311059 | Marcus Donald Smith | Counselor | 1645 E 50th St, Apt 4h, Chicago, IL 60615-3127 | 2016-04-21 |
| 1659636215 | Marcus Smith | Counselor | 8616 Lonicera Ct, Brandywine, MD 20613-3022 | 2012-07-10 |
| 1265438519 | Marcus Darnell Smith Sr. | Internal Medicine | 17201 I H 45 S, Shenandoah, TX 77385-3311 | 2005-06-22 |
| 1902305006 | Marcus Smith | Counselor | 701 Cross Road, Lederach, PA 19450-0255 | 2018-02-05 |
| 1699293373 | Marcus Smith | Behavior Technician | 1420 Carlisle Blvd Ne Ste 100, Albuquerque, NM 87110-5662 | 2017-09-01 |
| 1174072938 | Marcus Lloyd Smith | Military Health Care Provider | 6 Marine Regiment Psc Box 20097, Camp Lejeune, NC 28542-0097 | 2016-09-22 |
| 1285085225 | Marcus Smith Sr. | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2016-06-30 |
| 1912358706 | Marcus D Smith | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-06-23 |
| 1639412448 | Marcus Turand Smith Jr. | Behavioral Analyst | 3835 Mcgregor Way, North Las Vegas, NV 89032-7697 | 2013-03-29 |
| 1548519952 | Marcus Smith | Rehabilitation Practitioner | 3840 N Commerce St, Suite 100, North Las Vegas, NV 89032-8104 | 2012-08-30 |
| Street Address |
3017 N PRINCE ST STE B |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232785 | Nicole L Eckhardt | Counselor | 516 Villa Ave Ste 13, Clovis, CA 93612-0899 | 2019-02-25 |
| 1003321761 | Elizabeth Tracy Cappel-rice | Counselor | 287 W Trenton Ave, Clovis, CA 93619-3729 | 2017-12-04 |
| 1134535032 | Rossi Catana Terry | Counselor | 3017 N Prince Street, Suite B, Clovis, NM 88101 | 2014-07-11 |
| 1609001684 | Matt 25 Inc. | Counselor | 1200 Thornton St Ste A, Clovis, NM 88101-5508 | 2009-05-20 |
| 1376748517 | Brenda Lynn Alvarado | Counselor | 208 East Grand Ave. Riovida Counseling, Clovis, NM 88101 | 2007-06-18 |
| 1558307009 | Diane Leigh Ashmore | Counselor | 264 Clovis Ave, Clovis, CA 93612-1115 | 2006-06-22 |
| 1619433497 | Lisa Rochelle Daniele | Counselor | 106 Pollasky Ave Ste D, Clovis, CA 93612-1159 | 2019-02-16 |
| 1073947800 | Riovida Counseling LLC | Counselor | 809 Parkland Dr Ste B, Clovis, NM 88101-4474 | 2013-08-28 |
| 1033403878 | David A Mcvey | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2011-06-08 |
| 1730486168 | Dj2 Junctions Inc | Counselor | 1200 N Thornton St Ste J, Clovis, NM 88101-5508 | 2011-02-21 |
| Find all providers in CLOVIS | ||||
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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.