OLIVIA G SMITH (NPI# 1164063285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164063285 |
| Entity Type | Individual |
| Full Name | OLIVIA G SMITH |
| Credential | CPSS |
| Practice Address |
2201 Ironwood Pl Ste 100 Coeur D Alene ID 83814-2670 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2087694222 |
| Practice Fax Number | 8448037399 |
| Mailing Telephone | 2084150299 |
| Mailing Fax Number | 2086203990 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | OPTUM | 12355756730 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721968 | Olivia Henderson Smith | Counselor | 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 | 2020-02-06 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1235795931 | Olivia Grace Smith | Counselor | 7821 N Dale Mabry Hwy Ste 208, Tampa, FL 33614-3200 | 2019-05-17 |
| 1285103143 | Olivia Lauren Smith | Student in an Organized Health Care Education/Training Program | 2200 Lifestyle Ln Apt 902, Kutztown, PA 19530-8446 | 2018-11-20 |
| 1447733894 | Olivia Lin Smith | Physician Assistant | 2141 S Alternate A1a Ste 420, Jupiter, FL 33477-4063 | 2018-09-12 |
| 1942666045 | Olivia L Smith | Behavioral Analyst | 12075 Corporate Pkwy Ste 110, Mequon, WI 53092-2664 | 2016-01-06 |
| 1912506833 | Olivia Lynne Smith | Behavior Technician | 19437 Evans St Nw, Elk River, MN 55330-1074 | 2020-10-21 |
| 1740887983 | Olivia Mae Smith | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-01 |
| 1033723762 | Olivia Smith | Physical Therapist | 10400 W 103rd St Ste 22, Overland Park, KS 66214-2664 | 2020-09-01 |
| 1255940441 | Olivia Smith | Speech-Language Pathologist | 696 Silver Hills Dr Ste 111, Prattville, AL 36066-6184 | 2020-07-23 |
| Street Address |
2201 IRONWOOD PL STE 100 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255756730 | Dirne Health Centers, Inc. | Counselor | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2014-02-20 |
| 1629628284 | Brooke T Rushton | Community Health Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-09-16 |
| 1376198259 | Shavon L Harris | Social Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-08-07 |
| 1700439320 | Peter Christopher La Croix Huss | Social Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-23 |
| 1477106037 | Brittni Hudlet | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-22 |
| 1699332437 | Tiffany Stephenson | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-05-28 |
| 1801358890 | Christopher Winslow Green | Social Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
| 1477106037 | Brittni Hudlet | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-22 |
| 1699332437 | Tiffany Stephenson | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-05-28 |
| 1275010233 | Gordon Bruce Cuthbert | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-23 |
| 1679059208 | Tina Marie Rozniewski | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1962988451 | Cassey Coleman | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1598116659 | Mental Wellness Clinic of Coeur D Alene | Peer Specialist | 1105 W Ironwood Dr, Coeur D Alene, ID 83814-2613 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on OLIVIA G SMITH.
| 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.