JEREMY MICHAEL SMITH


Address: 621 W Madrone St, Roseburg, OR 97470-3090
Phone: 5416722691

JEREMY MICHAEL SMITH (NPI# 1508481912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508481912
Entity Type Individual
Full Name JEREMY MICHAEL SMITH
Practice Address 621 W Madrone St
Roseburg
OR 97470-3090
Practice Telephone 5416722691
Practice Fax Number 5416735642
Mailing Telephone 5416722691
Mailing Fax Number 5416735642
Enumeration Date 2020-06-11
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers JEREMY SMITH

NPI Name Taxonomy Address Enumeration
1376990622 Jeremy Smith Pharmacist 21 Hampton Ct, Lancaster, NY 14086-9422 2016-05-17
1023478468 Jeremy Smith Physician Assistant 3310 Runnels St, Fort Worth, TX 76106-6421 2016-02-27
1326381146 Jeremy Smith Counselor 3201 Pioneers Blvd Ste 222, Lincoln, NE 68502-5963 2013-03-29
1609154244 Jeremy Smith Physical Therapist 704 S Northwest Hwy, Barrington, IL 60010-4620 2011-08-01
1992004451 Jeremy Clinton Smith Dietitian, Registered 304 Blaine Ave, Cloquet, MN 55720-1202 2011-03-23
1568784106 Jeremy David Smith Pharmacist 1266 Nw Broad St, Murfreesboro, TN 37129-1713 2010-02-24
1184830812 Jeremy Smith Physical Therapist 1920 Football Dr, Lake Forest, IL 60045-4829 2007-05-16
1154463255 Jeremy Vanloring Smith Optometrist 202 W Pleasant St, Cynthiana, KY 41031-1434 2007-02-13
1891844312 Jeremy James Smith Dentist 4310 Medical Parkway, Suite 203, Austin, TX 78756 2007-01-10
1033204821 Jeremy Robert Smith Dentist 4355 Suwanee Dam Rd, Suwanee, GA 30024-6707 2006-10-04

Office Location

Street Address 621 W MADRONE ST
City ROSEBURG
State OR
Zip Code 97470-3090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174571244 Linda Lou Westfall Nurse Practitioner 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 2006-05-04
1093322919 Natasha Ritson Peer Specialist 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-24
1427664630 Sara Clark Peer Specialist 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-22
1538775754 Aurora Petterson Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-22
1730794884 Paige Nicole Hosford Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-14
1922612035 Fatima Jalloh Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-09-04
1013528272 Mae L Hoopes Counselor 621 W Madrone St, Roseburg, OR 97470-3090 2020-08-12
1265040018 Angelica Laurent Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-07-17
1417574898 Bryn Orr Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-07-01
1689298754 Cindy Walls Case Manager/Care Coordinator 621 W Madrone St, Roseburg, OR 97470-3090 2020-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710330386 Serenity Lane Counselor 2575 Nw Kline St, Roseburg, OR 97471-8827 2016-07-19
1306205984 Susan Anne Dowell Counselor 548 Se Jackson Street, Roseburg, OR 97470-0254 2016-02-11
1528426517 William C. Poulter Counselor 548 Sw Jackson St, Roseburg, OR 97470-2709 2016-02-04
1508295668 Adapt Counselor 1215 Se Court Ave, Roseburg, OR 97470-4329 2013-11-08
1174952238 Adapt Counselor 550 Se Jackson St, Roseburg, OR 97470-4923 2013-11-08
1639508708 Adapt Counselor 1036 Se Douglas Ave, Roseburg, OR 97470-3301 2013-11-08
1245597582 Alison Marie Hinson Counselor 850 Se Rose St, Roseburg, OR 97470-3942 2012-04-11
1114112133 Delila S Donaldson Counselor 727 Se Cass Ave Ste 223, Roseburg, OR 97470-4953 2007-09-12
1639256431 Linda Witbeck Counselor 913 Garden Valley Blvd, Bldg 2, Ward 2, Sartp, Roseburg, OR 97470 2006-11-01
1750373346 Adapt Counselor 548 Se Jackson St, Roseburg, OR 97470-4983 2005-08-18
Find all providers in ROSEBURG

Competitor

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City ROSEBURG
Zip Code 97470

Improve Information

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Dataset Information

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.

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