MR. STEPHEN DOUGLAS SMITH (NPI# 1295295509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295295509 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN DOUGLAS SMITH |
| Credential | CALIFORNIA LMFT |
| Practice Address |
2591 Parkcrest Way Roseville CA 95747-7140 |
| Practice Telephone | 9167587997 |
| Mailing Telephone | 9167587997 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
19775 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3751 Magnolia Street, Loomis, CA 95650 | 9167587997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1346807583 | Stephen Lee Smith | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # 7776, San Antonio, TX 78229-3901 | 2019-05-23 |
| 1275025041 | Stephen C Smith | Student in an Organized Health Care Education/Training Program | 220 Rowan Blvd Apt 630, Glassboro, NJ 08028-2275 | 2018-06-06 |
| 1437653706 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2018-03-21 |
| 1659809028 | Stephen Jerome Smith | Emergency Medical Technician, Basic | 1826 W Mcdowell Rd, Phoenix, AZ 85007-1612 | 2017-05-30 |
| 1386019867 | Stephen William Smith | Psychologist | 2312 Plantation Dr, Virginia Beach, VA 23454-2739 | 2015-12-09 |
| 1548666068 | Stephen Smith | Massage Therapist | 626 E 4th St, Tonganoxie, KS 66086-9219 | 2014-11-11 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1942600044 | Stephen Smith | Student in an Organized Health Care Education/Training Program | 6504 Walnut Park Dr, Philadelphia, PA 19120-1032 | 2014-08-26 |
| 1942619986 | Stephen Estes Smith | Dentist | Psc 477 Box 25354, Fpo, AP 96306-0254 | 2014-08-04 |
| Street Address |
2591 PARKCREST WAY |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999629 | Cedar Rose Lundgren | Counselor | 1611 County Road B W Ste 204, Roseville, MN 55113-4053 | 2020-07-16 |
| 1720645443 | Michele Marie Villarreal | Counselor | 720 Sunrise Ave Ste 200c, Roseville, CA 95661-4508 | 2019-05-29 |
| 1346803038 | Anna D Scanlan | Counselor | 1711 County Road B W Ste 108s, Roseville, MN 55113-4036 | 2019-04-17 |
| 1356804702 | Ronald Ramsey | Counselor | 30581 Hidden Pines Ln # 30581, Roseville, MI 48066-7301 | 2019-04-12 |
| 1104384825 | Gene H Burns | Counselor | 300 Harding Blvd Ste 116c, Roseville, CA 95678-2472 | 2019-03-12 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1043775109 | Ryan Jibson | Counselor | 420 Folsom Rd Ste D, Roseville, CA 95678-2767 | 2019-02-04 |
| 1649745837 | Courtney Jean Smith | Counselor | 257 Cedar St, Roseville, CA 95678-2539 | 2018-10-04 |
| 1033655568 | Naquiela Buckner I | Counselor | 1780 Vernon St, Roseville, CA 95678-6311 | 2017-01-08 |
| 1174072979 | Sarah Champany | Counselor | 1830 Sierra Gardens Dr., Roseville, CA 95661 | 2016-09-22 |
| Find all providers in ROSEVILLE | ||||
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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.