JEREMIAH T SMITH NPI 1063046043

NPI Information

NPI: 1063046043
Provider Name: JEREMIAH T SMITH
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4269 PEARL RD FL 3
CLEVELAND, OH
ZIP 44109
Phone: (216) 431-4131
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Jeremiah T Smith is a counselor in Cleveland, OH. The provider is 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. Jeremiah T Smith NPI is 1063046043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4269 PEARL RD FL 3
CLEVELAND, OH
ZIP 44109-234
Phone: (216) 431-4131

The NPI 1063046043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/27/2020 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C.2103198		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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