BRENDA MCGILLIVRAY SMITH (NPI# 1750345310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750345310 |
| Entity Type | Individual |
| Full Name | BRENDA MCGILLIVRAY SMITH |
| Credential | LPC LMFT |
| Practice Address |
1155 Early Dr Broadway VA 22815 |
| Practice Telephone | 5409019000 |
| Practice Fax Number | 5409019000 |
| Mailing Telephone | 5409019000 |
| Mailing Fax Number | 5409019000 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
0701002606 | VA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 0717000424 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1155 EARLY DR |
| City | BROADWAY |
| State | VA |
| Zip Code | 22815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919017 | Shenandoah Pain and Palliative Care Clinic, LLC | Nurse Practitioner | 173 E. Springbrook Road, Unit 3, Broadway, VA 22815 | 2019-12-17 |
| 1770130627 | Kathryn Walkley | Marriage & Family Therapist | 348 Louisa St, Broadway, VA 22815 | 2019-08-23 |
| 1912440116 | Life Enrichment Services, LLC | Counselor | 150 W Springbrook Rd, Broadway, VA 22815 | 2016-11-21 |
| 1205990983 | Tabitha T Garrison | Pain Medicine | 173 East Springbrook Road, Broadway, VA 22815 | 2006-12-20 |
| 1588742225 | Springbrook Family Medicine | Clinic/Center | 173 East Springbrook Rd, Broadway, VA 22815 | 2006-11-01 |
| 1891880217 | Broadway Family Practice, PC | Family Medicine | 12515 Timberway, Broadway, VA 22815 | 2006-10-03 |
| 1366550634 | Jeanne Marie Stutzman | Specialist | 223 E Springbook Rd, Broadway, VA 22815 | 2006-08-28 |
| 1699749648 | George Alexander Bentrem II | Family Medicine | 12515 Timber Way, Rt 259, Broadway, VA 22815 | 2006-02-15 |
| 1609367135 | Kathryn Vasco | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2018-05-21 |
| 1023477445 | Cori Pflugradt | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2016-02-12 |
| Find all providers in zip 22815 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063812972 | Kristee Jo Rosenow Trumbo | Counselor | 362 Dorset St, Broadway, VA 22815-9485 | 2014-08-27 |
| 1518221845 | Monica P Johns | Counselor | 150 Buchanan Dr, Broadway, VA 22815-9736 | 2012-07-02 |
| 1235106469 | Joann H. Henderson | Counselor | 409 Brethren Rd, Broadway, VA 22815-2847 | 2006-03-07 |
| 1548665409 | Todd Hedinger | Counselor | 133 W Springbrook Rd, Broadway, VA 22815-9527 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.