MR. RICKY BRIAN SMITH (NPI# 1437790540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437790540 |
| Entity Type | Individual |
| Full Name | MR. RICKY BRIAN SMITH |
| Credential | AMFT |
| Practice Address |
5225 Old Orchard Rd Ste 37 Skokie IL 60077-1027 |
| Mailing Address |
802 Forest Ave Oak Park IL 60302-1507 |
| Practice Telephone | 3123073935 |
| Mailing Telephone | 3123073935 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
208.000749 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS AMFT LICENSE | 208.000749 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763314 | Ricky Smith | Counselor | 4337 Se 15th St, Del City, OK 73115-3001 | 2013-03-13 |
| 1770830036 | Ricky Smith | Counselor | 106 Ridgeway St Ste H, Hot Springs, AR 71901-7157 | 2012-08-06 |
| 1841566429 | Ricky Edward Smith | Nurse Anesthetist, Certified Registered | 1 Hospital Dr Sw, Huntsville, AL 35801-6455 | 2012-03-28 |
| 1518265016 | Ricky C Smith | Pharmacist | 3601 W William Cannon Dr, Austin, TX 78749-1533 | 2011-03-08 |
| 1437284437 | Ricky B Smith | Pharmacist | 1221 E Union St, Greenville, MS 38703-3243 | 2007-02-22 |
| 1578670477 | Ricky Allen Smith | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2006-08-24 |
| Street Address |
5225 OLD ORCHARD RD STE 37 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528007945 | Jennifer Friedman | Counselor | 5225 Old Orchard Rd Ste 37, Skokie, IL 60077-1027 | 2006-06-05 |
| 1902448194 | Natalie Jeung | Counselor | 5225 Old Orchard Rd Ste 37, Skokie, IL 60077-1027 | 2019-10-09 |
| 1386103612 | Eunice Makunzva | Counselor | 5225 Old Orchard Rd Ste 37, Skokie, IL 60077-1027 | 2019-03-16 |
| 1316423072 | Tara Joy Sabol | Counselor | 5225 Old Orchard Rd Ste 37, Skokie, IL 60077-1027 | 2018-07-16 |
| 1336684976 | Caroline Kenerson Tebbens | Counselor | 5225 Old Orchard Rd Ste 37, Skylight Counseling Center, Skokie, IL 60077-1027 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937092 | Balance Counseling Services | Counselor | 8129 Long Ave, Skokie, IL 60077-2426 | 2020-09-16 |
| 1750913323 | Rensy Mathew | Counselor | 7538 Kedvale Ave, Skokie, IL 60076-3804 | 2020-02-11 |
| 1598317802 | Chicago Family Therapy Center | Counselor | 8707 Skokie Blvd Ste 307, Skokie, IL 60077-2281 | 2019-07-16 |
| 1982198891 | Mosaic Group LLC | Counselor | 7925 Lincoln Ave Ste 202, Skokie, IL 60077-3679 | 2018-06-15 |
| 1255782827 | Abigail Zureich | Counselor | 7925 Lincoln Ave, Skokie, IL 60077-3679 | 2016-06-24 |
| 1063802874 | Michael Andrew Fletcher | Counselor | 8700 Skokie Blvd Ste 207, Skokie, IL 60077-2279 | 2015-01-31 |
| 1235494873 | Loni Itah | Counselor | 5115 Brown St, Skokie, IL 60077-3631 | 2012-07-10 |
| 1275815508 | Veronica D Vyazovsky | Counselor | 4700 Old Orchard Rd, Apt 211, Skokie, IL 60076-1061 | 2011-09-13 |
| 1750568390 | New Foundation Center, Inc. | Counselor | 4570 Church St, Skokie, IL 60076-1534 | 2008-01-25 |
| 1568649101 | New Foundation Center, Inc. | Counselor | 4840 Wright Ter, Skokie, IL 60077-2387 | 2008-01-25 |
| Find all providers in SKOKIE | ||||
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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.