MR. RICK C SMITH LCDC III NPI 1205307626

NPI Information

  • NPI: 1205307626
  • Provider Name: MR. RICK C SMITH, LCDC III
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 712 CEDAR DR APT 8
    FAIRBORN, OH
    ZIP 45324
  • Phone: (937) 343-1788

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NPI Details

MR. Rick C Smith, LCDC III is an addiction (substance use disorder) counselor in Fairborn, OH. MR. Rick C Smith, LCDC III NPI is 1205307626. 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:

712 CEDAR DR APT 8
FAIRBORN, OH
ZIP 45324-871
Phone: (937) 343-1788

The enumeration date for this NPI number is 12/11/2018 and was last updated on 6/28/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA168836OHIONo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCDCII.161870OHIONo
3101YA0400XCounselorAddiction (Substance Use Disorder)LCDCIII.162714OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LCDCII.161870OTHEROHIOOHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD
2LCDCIII.162714OTHEROHIOOHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD
3CDCA168836OTHEROHIOOHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD

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: 3/30/2025

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