MS. STEPHANIE JANE SMITH (NPI# 1548379266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548379266 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE JANE SMITH |
| Credential | LPC |
| Practice Address |
40 Bolivia St Willimantic CT 06226-2843 |
| Practice Telephone | 8604235353 |
| Practice Fax Number | 8604235353 |
| Mailing Telephone | 8604235353 |
| Mailing Fax Number | 8604235353 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 001292 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BCBS | 240001292CT01 | 01 |
| MHN | 322796 | 01 | |
| CT | CAQH | 11244656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118362 | Stephanie Malika Smith | Speech-Language Pathologist | 1041 Rabon Pond Dr, Columbia, SC 29223-5866 | 2020-09-11 |
| 1215577952 | Stephanie Joy Smith | Specialist/Technologist | 12775 Stockdale Highway, Bakersfield, CA 93314 | 2020-01-10 |
| 1578123238 | Stephanie Smith | Doula | 7504 Pinnacle Pl Se, Snoqualmie, WA 98065-8981 | 2019-06-15 |
| 1487114559 | Stephanie D Smith | Registered Nurse | 921 Gibson St, Titusville, FL 32780-7721 | 2019-03-23 |
| 1144786583 | Stephanie Lynn Smith | Dietitian, Registered | 4375 Fair Lakes Ct, Fairfax, VA 22033-4234 | 2019-02-11 |
| 1427521533 | Stephanie Michelle Smith | Physician Assistant | 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 | 2019-01-10 |
| 1275016958 | Stephanie Grace Smith | Occupational Therapist | 267 Timberpoint Rd, East Islip, NY 11730-3319 | 2018-09-10 |
| 1801381546 | Stephanie Smith | Specialist/Technologist | 155 Miami St, Tiffin, OH 44883-2161 | 2018-06-26 |
| 1013408079 | Stephanie M Smith | Massage Therapist | 3613 Williams Dr Ste 1003, Georgetown, TX 78628-1376 | 2018-05-25 |
| 1871092429 | Stephanie Jill Smith | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-09 |
| Street Address |
40 BOLIVIA ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205144243 | Holly J Wells | Social Worker | 40 Bolivia St, Willimantic, CT 06226-2843 | 2010-09-23 |
| 1669627683 | Shona K Maddocks | Social Worker | 40 Bolivia St, Willimantic, CT 06226-2843 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1811191281 | Suzanne Montesano-mclean | Counselor | 1 Richmond Ln, Willimantic, CT 06226-3825 | 2007-06-12 |
| 1962042374 | Maria Torres | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-01-14 |
| 1053959692 | Alana B Mendelsohn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-12-13 |
| 1730736059 | Shontelle Ifill | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-08-21 |
| 1003469990 | William Bergmann | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-07-19 |
| 1528624525 | Tiffany Kennedy | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-05-15 |
| 1891359501 | Raelene Asselin | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-29 |
| 1942762372 | Kristin Dunn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-04 |
| 1053870212 | Ryan Tacy | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-03-18 |
| Find all providers in WILLIMANTIC | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on MS. STEPHANIE JANE 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.