KELLI JAE SMITH (NPI# 1316591696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316591696 |
| Entity Type | Individual |
| Full Name | KELLI JAE SMITH |
| Credential | PCLC |
| Practice Address |
600 Central Ave Ste 201 Great Falls MT 59401-3141 |
| Practice Telephone | 4069523772 |
| Mailing Telephone | 4069523772 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
BBH-PCLC-LIC-387 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537253 | Kelli Marie Smith | Nurse Practitioner | 401 S Fifth St, Lynch, NE 68746-3013 | 2019-09-17 |
| 1972028215 | Kelli Smith | Counselor | 2001 W Plano Pkwy Ste 1400, Plano, TX 75075-8607 | 2017-08-08 |
| 1891157400 | Kelli Marie Smith | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd # Mc5723, Palo Alto, CA 94304-1419 | 2016-03-23 |
| 1760881809 | Kelli Ann Smith | Pharmacist | 4122 Autumn Crest Dr, Hamilton, MI 49419-9119 | 2014-08-14 |
| 1154580983 | Kelli S. Smith | Physical Therapist | 1116 Halsell St, Bridgeport, TX 76426-3000 | 2008-06-06 |
| 1932382637 | Kelli Smith | Clinical Nurse Specialist | 43 Brookfield Cir, Framingham, MA 01701-4036 | 2007-12-17 |
| 1235119843 | Kelli L Smith | Physical Therapist | 259 Melbourne Ave, Akron, OH 44313-6574 | 2006-01-19 |
| 1326035148 | Kelli Pugh Smith | Audiologist | 901 Enterprise Pkwy Ste 300, Hampton, VA 23666-6249 | 2005-10-06 |
| 1831196203 | Kelli Gay Smith | Audiologist | 11685 Alpharetta Hwy, Ste 360, Roswell, GA 30076-4982 | 2005-06-30 |
| 1144868506 | Kelli Marie Smith | Case Manager/Care Coordinator | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2019-12-17 |
| Street Address |
600 CENTRAL AVE STE 201 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291591 | Katherine Emily Campbell | Dietitian, Registered | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2020-09-25 |
| 1174133565 | Emily Scheinman | Dietitian, Registered | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2020-07-31 |
| 1114571304 | Reyna Michelle Atton | Social Worker | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2019-07-26 |
| 1891349163 | Patricia Cooper | Counselor | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2019-07-25 |
| 1639649668 | Emily Wish, LLC | Social Worker | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2018-12-03 |
| 1558801001 | Shauna Renee Nagaoka-symonds | Counselor | 600 Central Ave Ste 201, Great Falls, MT 59401-3141 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477041 | Shelby Beck | Counselor | 2619 1st Ave South, Great Falls, MT 59401-5940 | 2020-11-03 |
| 1427676014 | Kim Bodily | Counselor | 600 Central Ave Ste 311, Great Falls, MT 59401-3157 | 2020-07-09 |
| 1972133395 | Lara Clark | Counselor | 600 6th St Nw Ste 9, Great Falls, MT 59404-2449 | 2020-01-24 |
| 1497395255 | Jessica Miranda Rose Weisz | Counselor | 108 29th Ave Ne, Great Falls, MT 59404-1002 | 2020-01-09 |
| 1689225963 | Enlightening Minds, LLC | Counselor | 600 Central Ave Ste 408, Great Falls, MT 59401-3141 | 2019-09-26 |
| 1922652288 | Veronda Biggart | Counselor | 220 2nd St N, Great Falls, MT 59401-2402 | 2019-07-25 |
| 1023575370 | Whole Life Therapeutics LLC | Counselor | 1601 2nd Ave N Ste 634, Great Falls, MT 59401-3287 | 2019-02-22 |
| 1437623006 | Open Door Counseling | Counselor | 2 5th St N Ste 201, Great Falls, MT 59401-4011 | 2019-01-17 |
| 1760966485 | Dawn Marie Handa | Counselor | 321 1st Ave N, Great Falls, MT 59401-2505 | 2018-09-18 |
| 1982107181 | Kimberly Kay Cummings | Counselor | 3800 1st Ave S, Great Falls, MT 59405-1646 | 2018-03-14 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on KELLI JAE 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.