MICAH JOVAN SMITH (NPI# 1316440308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316440308 |
| Entity Type | Individual |
| Full Name | MICAH JOVAN SMITH |
| Practice Address |
2501 N Green Valley Pkwy Ste 116-118 Henderson NV 89014-0273 |
| Practice Telephone | 7026052766 |
| Mailing Telephone | 7026052766 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BOARD OF EXAMINERSFOR ALCOHOL AND DRUG AND GAMBELING COUNSELORS | 02294-I | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003309154 | Micah Joel Smith | Speech-Language Pathologist | 3801 Johnson Mill Blvd # Ab, Fayetteville, AR 72704-5297 | 2018-06-13 |
| 1992257331 | Micah Smith | Student in an Organized Health Care Education/Training Program | 411 W Hawkins Pkwy, Apt 4301, Longview, TX 75605-1723 | 2016-11-02 |
| 1427236249 | Micah Smith | Chiropractor | 108 N Forrest Ave, Camden, TN 38320-2062 | 2008-02-04 |
| 1104335124 | Micah Steven Smith | Physical Therapist | 5977 E Grant Rd Ste 101, Tucson, AZ 85712-2341 | 2017-09-21 |
| 1952836777 | Micah Smith | Pharmacist | 10121 Seminole Blvd, Seminole, FL 33772-2543 | 2017-04-30 |
| 1548667124 | Micah Smith | Orthotist | 17490 Highway 3 Ste 100a, Webster, TX 77598-4160 | 2014-11-26 |
| 1679730832 | Micah W Smith | Orthopaedic Surgery | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2008-05-16 |
| 1750316188 | Micah Jeremy Smith | Emergency Medicine | 750 W 800 N, Orem, UT 84057-3660 | 2006-07-12 |
| Street Address |
2501 N GREEN VALLEY PKWY STE 116-118 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-0273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930949 | James C Stroud | Counselor | 7525 State Highway 64 W, Henderson, TX 75652-9021 | 2020-07-28 |
| 1700428414 | Tawnia M Lindal | Counselor | 525 Engel Ave, Henderson, NV 89011-4355 | 2019-10-14 |
| 1811538317 | Nicole Mcdonagh | Counselor | 2520 Saint Rose Pkwy Ste 220a, Henderson, NV 89074-7789 | 2019-10-05 |
| 1710540729 | James Allan Hagman | Counselor | 401 Hoffman Dr Ste L, Henderson, KY 42420-3390 | 2019-04-16 |
| 1336606342 | Mountain Summits LLC | Counselor | 2520 Saint Rose Pkwy Ste 204, Henderson, NV 89074-7785 | 2019-02-26 |
| 1356810337 | Kevin A Webster | Counselor | 203 S Water St Unit 200, Henderson, NV 89015-7226 | 2018-11-19 |
| 1952890089 | Natalie Dolan | Counselor | 309 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7056 | 2018-05-03 |
| 1528556321 | Lance Everett Sellers | Counselor | 975 Seven Hills Dr Apt 3315, Henderson, NV 89052-4324 | 2018-04-26 |
| 1871091892 | Crenguta Raluca Heim | Counselor | 2050 W Warm Springs Rd Unit 1121, Henderson, NV 89014-5526 | 2018-01-24 |
| 1396258414 | Margaret L. Fagan | Counselor | 7 S Water St Ste A, Henderson, NV 89015-7250 | 2017-11-10 |
| Find all providers in HENDERSON | ||||
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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.