MR. WENDELL E SMITH (NPI# 1215104740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215104740 |
| Entity Type | Individual |
| Full Name | MR. WENDELL E SMITH |
| Credential | LPC |
| Practice Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 8709336886 |
| Practice Fax Number | 8709339395 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1201004 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5AB78 | 01 |
| AR | 169539795 | 05 | |
| AR | BCBS | 5WW07 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556619 | Wendell Smith | Family Medicine | 5294 Adams St Ne, Covington, GA 30014-2628 | 2005-08-24 |
| 1568480879 | Wendell Robert Smith | Surgery | 1101 9th St N, Virginia, MN 55792-2329 | 2006-07-17 |
| Street Address |
1815 PLEASANT GROVE RD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586297 | Walter Lee Crawford | Counselor | 1815 Pleasant Grove Rd, Jonesboro, AR 72401 | 2006-06-14 |
| 1992306534 | Haley Elizabeth Ballard | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-11-02 |
| 1457967986 | Ana-liese Torres | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-09-21 |
| 1669084380 | Chaney Elise Weaver | Social Worker | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-08-24 |
| 1104438837 | Jennifer Dawn Bushong | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-08-24 |
| 1659900892 | Elizabeth Nicole Allbritton | Social Worker | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-04-08 |
| 1033745260 | Angel Carter | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-03-19 |
| 1295375616 | Brittany Roedel | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| 1003456427 | Jake Ford | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| 1730729146 | Phishon Bass | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239360 | Haronepthia C Cameron | Counselor | 102 Lundy Ln, Jonesboro, GA 30238-2132 | 2020-09-14 |
| 1356993356 | New Behavioral Services LLC | Counselor | 216 N Mcdonough St, Jonesboro, GA 30236-3608 | 2019-07-10 |
| 1386107563 | Lashanda Robertson | Counselor | 124 S Main St Ste 2n, Jonesboro, GA 30236-3502 | 2019-04-13 |
| 1467987230 | Sharon Temple | Counselor | 10519 Cedar Knob, Jonesboro, GA 30238-8834 | 2017-04-28 |
| 1497207450 | Felita Bush | Counselor | 124 S Main St Ste 2g, Jonesboro, GA 30236-3502 | 2016-10-25 |
| 1164977583 | Dealva Kernodle | Counselor | 935 County Road 348, Jonesboro, AR 72401-0418 | 2016-08-16 |
| 1013372879 | Cassandra Walker | Counselor | 2617 Dancing Waters Dr, Jonesboro, GA 30236-4051 | 2015-12-22 |
| 1932512621 | Project Real Life Youth Occupational Training Corps, Inc. | Counselor | 6805 Tara Blvd, Jonesboro, GA 30236-1501 | 2014-06-10 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1922443993 | Ruth Wheller | Counselor | 1000 S Caraway Rd Ste 103, Jonesboro, AR 72401-4465 | 2013-05-06 |
| Find all providers in JONESBORO | ||||
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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.