JOHN BRADLEY SMITH PCC NPI 1477667046

NPI Information

  • NPI: 1477667046
  • Provider Name: JOHN BRADLEY SMITH, PCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6825 N STATE ROUTE 66
    DEFIANCE, OH
    ZIP 43512
  • Phone: (419) 782-4196

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NPI Details

John Bradley Smith, PCC is a mental health counselor in Defiance, OH. John Bradley Smith, PCC NPI is 1477667046. 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:

6825 N STATE ROUTE 66
DEFIANCE, OH
ZIP 43512-730
Phone: (419) 782-4196

The enumeration date for this NPI number is 8/19/2006 and was last updated on 5/5/2015.

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
1101YM0800XCounselorMental HealthE0003984OHIOYes

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
11366526782MEDICAIDOHIO

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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