MARVIN SMITH NPI 1467196022

NPI Information

  • NPI: 1467196022
  • Provider Name: MARVIN SMITH
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 761 E UNIVERSITY DR
    MESA, AZ
    ZIP 85203
  • Phone: (678) 953-6713

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NPI Details

Marvin Smith is an addiction (substance use disorder) counselor in Mesa, AZ. Marvin Smith NPI is 1467196022. 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:

761 E UNIVERSITY DR
MESA, AZ
ZIP 85203-961
Phone: (678) 953-6713

The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
5103TB0200XPsychologistCognitive & BehavioralNo
6103TP0016XPsychologistPrescribing (Medical)No
7103TP2701XPsychologistGroup PsychotherapyNo
8104100000XSocial WorkerNo
9106S00000XBehavior TechnicianNo
10171M00000XCase Manager/Care CoordinatorNo
11101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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