ELLA ILIANA SMITH (NPI# 1114514742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114514742 |
Entity Type | Individual |
Full Name | ELLA ILIANA SMITH |
Other Name | ELLA ILIANA GRANT (Other Name) |
Gender | Female |
Credential | QMHA, CADC I |
Other Credential | QMHA, CADC I |
Practice Address | 6025 Se Belmont St Portland OR 97215-1927 |
Practice Telephone | 8662620531 |
Mailing Address | 6025 Se Belmont St Portland OR 97215-1927 |
Mailing Telephone | 8662620531 |
Certification Date | 2020-12-29 |
Enumeration Date | 2020-12-29 |
Last Update Date | 2020-12-29 |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 101YA0400X | Counselor Specialization: Addiction (Substance Use Disorder) | OR | Behavioral Health & Social Service Providers |
Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
---|---|---|---|---|---|
CONNECT URL | Portland | 6025 Se Belmont St, Portland, OR 972151927 |
Street Address | 6025 SE BELMONT ST |
City | PORTLAND |
State | OR |
Zip Code | 97215-1927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912595646 | Renee Gestalt | Counselor · Addiction (Substance Use Disorder) | 6025 Se Belmont St, Portland, OR 97215-1927 | 2021-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447605258 | Crestview Recovery Services, LLC | Clinic/Center · Rehabilitation, Substance Use Disorder | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609470046 | Khashayar Jafari | Chiropractor | 78178 Se Stark St, Portland, OR 97215 | 2020-11-25 |
1952926339 | Lisa Silverman | Counselor · Mental Health | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
1114459088 | Genevieve Kathleen Shields | Registered Nurse · Gerontology | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
1205282514 | Aiyana Lucas | Social Worker · Clinical | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
1508223918 | Catherine Ann Chapman | Counselor · Mental Health | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
Find all providers in zip 97215 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477163657 | Kevin Charles Reiser | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 | |
1881203628 | Beau Curtiss | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 | |
1851916886 | Jonathan Cross | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 | |
1639703960 | Elizabeth Ann Anderson | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 | |
1194356618 | Deforrest Kwesi Jackson | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 | |
1760012942 | Jesse Decker | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 | |
1740829076 | Ryan Christianson | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 | |
1083264477 | Kayla Rose Paris | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 | |
1275193260 | Anna Khval | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 | |
1841855301 | Portland Opioid Health Home | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 | |
Find all providers in PORTLAND |
City | PORTLAND |
Zip Code | 97215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730264524 | Ella K Overton · Ella Kemp Smith | Rehabilitation Counselor | 6838 Industrial Pk Rd, Bath, NY 14810 | 2006-10-27 |
1750323325 | Ella-Med Inc · Ella Pharmacy | Pharmacy | 3444 Ella Blvd, Houston, TX 77018-6100 | 2006-06-11 |
1073971644 | Iliana Thornton · Iliana Suero | Physician Assistant | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-02-10 |
1629633250 | Iliana Hernandez · Iliana Cruz | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2019-05-09 |
1992257661 | Iliana Lima · Iliana Molina | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2016-10-28 |
1306213269 | Iliana Crane · Iliana Garcia | Case Manager/Care Coordinator | 2025 E 7th St, Long Beach, CA 90804-4590 | 2015-08-27 |
1528315744 | Iliana Kim · Iliana Carrero | Physical Therapist | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2012-08-07 |
1629665518 | Iliana Beatrix Hendrix · Iliana Beatriz Ortiz-Menjivar | Technician | 22726 Madrid Dr, Lake Forest, CA 92630-4625 | 2020-12-24 |
1922244052 | Alba Iliana Smith | Nurse Practitioner · Family | 809 Singleton Blvd, Dallas, TX 75212-4014 | 2008-12-18 |
1700322971 | Iliana Maria Pena · Iliana Maria Hernandez-Delgado | Nurse Practitioner · Family | 8950 N Kendall Dr, Suite 407 W, Miami, FL 33176-2144 | 2017-01-12 |
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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.