CELESTE JEAN SMITH (NPI# 1720558059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720558059 |
| Entity Type | Individual |
| Full Name | CELESTE JEAN SMITH |
| Credential | M.ED., LPC |
| Practice Address |
4000 W Walton Blvd Ste A Waterford MI 48329 |
| Mailing Address |
4000 W Walton Blvd Ste A Waterford MI 48329-4191 |
| Practice Telephone | 8105458308 |
| Mailing Telephone | 8105458308 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401016468 | MI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
640101753 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1777 Axtell Dr Ste 100, Troy, MI 480844400 | 3136936923 | |
| 4000 W Walton Blvd Ste A, Waterford, MI 48329 | 8105458308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649702192 | Celeste Smith | Marriage & Family Therapist | 707 Trenton Dr, Tyler, TX 75703-1115 | 2017-04-03 |
| 1114394533 | Celeste Smith | Developmental Therapist | 560 Haight St, #104, San Francisco, CA 94117-3431 | 2015-09-02 |
| 1174821961 | Celeste Mule Smith | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2011-03-03 |
| 1407983893 | Celeste Elizabeth Smith | Nurse Practitioner | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 | 2007-02-27 |
| Street Address |
4000 W WALTON BLVD STE A |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952692469 | Waterford Family Chiropractic Pllc | Chiropractor | 4000 W Walton Blvd Ste A, Waterford, MI 48329-4191 | 2011-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718939 | Kathleen Marie Dallas | Counselor | 301 S Williams Lake Rd, Waterford, MI 48327-3678 | 2020-07-24 |
| 1184263220 | Margaret Mary Harris | Counselor | 45 Pepperbox Rd, Waterford, CT 06385-3511 | 2020-01-06 |
| 1033698584 | Sheryl L Schumacher | Counselor | 811 Scott Lake Rd, Waterford, MI 48328-2547 | 2018-08-07 |
| 1740773381 | Life Pathways Counseling and Coaching, LLC | Counselor | 4345 Meigs Ave Ste 109, Waterford, MI 48329-1877 | 2018-06-08 |
| 1386149953 | Maricruz Avitia | Counselor | 5096 Harbor Oark Dr., Waterford, MI 48329-1726 | 2018-03-27 |
| 1235657719 | Marissa Elizabeth Mccarthy | Counselor | 38 Norman St, Waterford, CT 06385-2316 | 2017-09-05 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1245774538 | Lajoy Harris | Counselor | 3525 Elizabeth Lake Rd Ste A, Waterford, MI 48328-3087 | 2016-12-06 |
| 1821469560 | Deborah Hockin | Counselor | 6695 Highland Rd, Suite 104a, Waterford, MI 48327-1651 | 2015-10-07 |
| 1023446820 | Barbara Robertson | Counselor | 3201 Howe Ct, Waterford, MI 48329-2785 | 2013-10-15 |
| Find all providers in WATERFORD | ||||
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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.