MRS. STEPHANIE JILL SMITH (NPI# 1871092429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871092429 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE JILL SMITH |
| Credential | LPC-S, LCDC |
| Practice Address |
4405 Padre Blvd South Padre Island TX 78597-7324 |
| Mailing Address |
Po Box 40167 South Padre Island TX 78597-4167 |
| Practice Telephone | 9563675687 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 67438 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11287 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
67438 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
67438 | TX | Behavioral Health & Social Service Providers |
| 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 |
| 1699282053 | Stephanie Renee Smith | Registered Nurse | 4343 N Terrace View St, Toledo, OH 43607-1049 | 2018-01-08 |
| Street Address |
4405 PADRE BLVD |
| City | SOUTH PADRE ISLAND |
| State | TX |
| Zip Code | 78597-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435924 | Martha Lee Zer | Nurse Practitioner | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-07-28 |
| 1710595574 | Damaris A. Gracia | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-07-17 |
| 1780292508 | Clarissa Gonzalez | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-07-17 |
| 1003433921 | Edward Alan Yurick | Social Worker | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-26 |
| 1295351245 | Brad Fitch | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-24 |
| 1588289953 | Cindi Z Salinas | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2020-06-11 |
| 1093216038 | Melvin Scott Vandenburg | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1609377654 | Robert Letke | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1083115919 | David Tejeda | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| 1407357395 | Jennifer Pinkerton | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260962 | Medspaspi LLC. | General Practice | 3401 Padre Blvd., Suite A, South Padre Island, TX 78597 | 2019-08-15 |
| 1326566951 | Susan Kay Soto | Registered Nurse | 4701 Padre Blvd, #3041, South Padre Island, TX 78597 | 2017-09-04 |
| 1295007128 | Cedric Boyd Sr. | Registered Nurse | 224 Sunset Dr., South Padre Island, TX 78597 | 2012-02-08 |
| 1891093837 | Gerald Sher | Anesthesiology | 222 W. Huisache Street., South Padre Island, TX 78597 | 2011-02-28 |
| 1679549513 | Richard Bruce Debenedetto | Emergency Medicine | 2217 Padre Blvd, South Padre Island, TX 78597 | 2006-02-28 |
| 1699087650 | Spi Clinic, Pllc | Internal Medicine | 3808 Padre Blvd, South Padre Island, TX 78597 | 2010-07-07 |
| 1639405855 | Kerrville Med Express | Emergency Medicine | 2217 Padre Blvd, South Padre Island, TX 78597 | 2009-10-22 |
| 1427660059 | Heather Renee Stuart | Massage Therapist | 2216 Padre Blvd Ste B162, S Padre Isle, TX 78597-0204 | 2020-08-17 |
| 1194792622 | Orlando S. Tijerina | Anesthesiology | 125 B E Atol St, South Padre Island, TX 78597-2308 | 2006-03-03 |
| 1780149104 | Melva Hager | Specialist/Technologist | 110 E. Retama, Unit 1, South Padre Island, TX 78597-3336 | 2019-02-11 |
| Find all providers in zip 78597 | ||||
| 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 |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PADRE ISLAND |
| Zip Code | 78597 |
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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.