MRS. ALICE SMITH (NPI# 1689129694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689129694 |
| Entity Type | Individual |
| Full Name | MRS. ALICE SMITH |
| Credential | LMHC, CASAC |
| Practice Address |
123 Pike St Port Jervis NY 12771-1824 |
| Practice Telephone | 8458567576 |
| Practice Fax Number | 8458568231 |
| Mailing Telephone | 8458567576 |
| Mailing Fax Number | 8458568231 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000429 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE OFFICE OF PROFESSIONS | 000429 | 01 |
| NY | NYS OASAS | 12588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772447 | Alice Elliott Smith | Psychologist | 3033 St George St, Los Angeles, CA 90027-2516 | 2020-08-28 |
| 1386186591 | Alice Smith | Counselor | 5007 Jefferson Street, Moss Point, MS 39563 | 2016-11-07 |
| 1912360405 | Alice Robinson Smith | Counselor | 5028 Geary Blvd., San Francisco, CA 94118-2814 | 2016-04-01 |
| 1073910246 | Alice Smith | Social Worker | 337 Cougar Estates Ln, Las Vegas, NV 89123-2204 | 2014-12-03 |
| 1578662896 | Alice Faye Smith | Social Worker | 2116 N Cedar St, Lumberton, NC 28358-3928 | 2006-09-22 |
| 1508881632 | Alice Boyd Smith | Radiology | 2938 Pacific Heights Rd, Honolulu, HI 96813-1015 | 2006-07-12 |
| 1396249058 | Alice Buist Smith | Occupational Therapist | 2880 Tricom St, North Charleston, SC 29406-9171 | 2018-03-19 |
| 1720594518 | Alice Florence Smith | Technician/Technologist | 1850 Veterans Memorial Hwy, Islandia, NY 11749-1513 | 2017-12-16 |
| 1003260415 | Alice Smith | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2016-04-21 |
| 1407215742 | Alice Smith | Speech-Language Pathologist | 690 Medical Park Dr, Aiken, SC 29801-5385 | 2016-02-15 |
| Street Address |
123 PIKE ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586099 | Henry R Goldstein | Ophthalmology | 123 Pike St, Suite 201, Port Jervis, NY 12771-1824 | 2005-08-23 |
| 1659917441 | Ryan Case | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2019-11-27 |
| 1316440639 | Jeffrey David Seyer | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2018-03-13 |
| 1891147096 | Amado Valdes | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-07-12 |
| 1427409119 | Yasu Caballero | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-06-24 |
| 1114389095 | George Rumsey | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2016-03-22 |
| 1396172284 | Kcd Hearing,llc | Hearing Aid Equipment | 123 Pike St, Port Jervis, NY 12771-1824 | 2013-10-09 |
| 1720331036 | J. Ward Fitzpatrick Dds | Dentist | 123 Pike St, Port Jervis, NY 12771-1824 | 2012-10-24 |
| 1033416110 | Henry R Goldstein Md PC | Ophthalmology | 123 Pike St, Port Jervis, NY 12771-1824 | 2011-02-25 |
| 1124277108 | Hillside Health Medical Practice, P.C. | Pediatrics | 123 Pike St, Suite 209, Port Jervis, NY 12771-1824 | 2008-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| 1598394918 | Christine Anush Derian | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2020-04-07 |
| 1457913154 | Terry Lynn Clark | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-02 |
| 1205217544 | Holly Aschoff | Counselor | 17 Sussex St, Port Jervis, NY 12771-2430 | 2015-06-12 |
| 1346574571 | Lillian Rothenhaus | Counselor | 146 Pike Street, Port Jervis, NY 12771 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on MRS. ALICE 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.