MR. KELVIN MARTIN SMITH (NPI# 1841853306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841853306 |
| Entity Type | Individual |
| Full Name | MR. KELVIN MARTIN SMITH |
| Credential | CIT |
| Practice Address |
21089 South Frontage Road Lacassine LA 70650 |
| Mailing Address |
105 Rebecca Dr Lafayette LA 70508-5965 |
| Practice Telephone | 3379369197 |
| Practice Fax Number | 3375884179 |
| Mailing Telephone | 3376614245 |
| Mailing Fax Number | 3375884179 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4238 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641550 | Kelvin Smith | Counselor | 5434 Timber Park Dr, Flower Mound, TX 75028-2223 | 2020-05-20 |
| 1265062343 | Kelvin Smith Jr. | Orthotist | 6000 Executive Blvd Ste 500, North Bethesda, MD 20852-3858 | 2020-01-17 |
| 1033433818 | Kelvin Smith | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2010-03-23 |
| 1902898430 | Kelvin Bruce Smith | Dentist | 7008 Security Blvd, Suite 110, Baltimore, MD 21244-2566 | 2005-08-19 |
| Street Address |
21089 SOUTH FRONTAGE ROAD |
| City | LACASSINE |
| State | LA |
| Zip Code | 70650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528507068 | Genesis Life LLC | Rehabilitation, Substance Use Disorder Unit | 21089 South Frontage Road, Lacassine, LA 70650 | 2017-02-16 |
| 1982215851 | Sanctuary Louisiana LLC | Clinic/Center | 21089 South Frontage Road, Lacassine, LA 70650-9998 | 2020-08-13 |
| 1902377211 | Sabrina Kay Wells | Counselor | 21089 South Frontage Road, Lacassine, LA 70650 | 2018-12-13 |
| 1336688878 | Sanctuary Louisiana, LLC | Rehabilitation, Substance Use Disorder Unit | 21089 South Frontage Road, Lacassine, LA 70650 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194336 | James Fitzgerald Mills | Counselor | 21089 South Frontage Rd, Lacassine, LA 70650 | 2017-06-14 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194336 | James Fitzgerald Mills | Counselor | 21089 South Frontage Rd, Lacassine, LA 70650 | 2017-06-14 |
| 1902377211 | Sabrina Kay Wells | Counselor | 21089 South Frontage Road, Lacassine, LA 70650 | 2018-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114138 | Thomas Rowan | Counselor | 63069 Hummingbird Ln, Mandeville, LA 70448-7306 | 2020-11-05 |
| 1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
| 1982211140 | Adonis Williams | Counselor | 410 E Askew Street, Tallulah, LA 71282 | 2020-09-30 |
| 1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
| 1780202127 | Allison Skapik | Counselor | 2700 South Broad St, New Orleans, LA 70125 | 2020-07-13 |
| 1386266922 | Kayla Richards | Counselor | 6201 Venecia Dr, Bossier City, LA 71111-7448 | 2020-05-16 |
| 1659993392 | Eugenia Colthia Washington | Counselor | 336 Lakewood Ave, Breaux Bridge, LA 70517-3235 | 2020-05-15 |
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1558999656 | Kindred Counseling | Counselor | 1420 Avenue I, Bogalusa, LA 70427-4955 | 2020-04-01 |
| 1689200073 | Denise Lynn Guillot | Counselor | 10627 Hwy 71, Cheneyville, LA 71325-1325 | 2020-03-17 |
| 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.