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BRYAN LEE EISSAAH SMITH
NPI 1104688308
Peer Specialist in Stillwater, OK

Active since January 24, 2024
1624 CIMARRON PLZ, STILLWATER, OK 74075(844) 458-2100 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Lee Eissaah Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN LEE EISSAAH SMITH (NPI 1104688308) is an individual peer specialist in Stillwater, Oklahoma and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1104688308
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRYAN LEE EISSAAH SMITH
Location Address1624 CIMARRON PLZStillwater, OK 74075-3467
Mailing Address1624 Cimarron PlzStillwater, OK 74075-3467 · (844) 458-2100
Phone(844) 458-2100
Sole ProprietorNo
Enumeration DateJanuary 24, 2024
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1104688308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1624 CIMARRON PLZ, Stillwater, OK 74075
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANIE DIANNA WORTHY
Peer Specialist
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (918) 273-1841
JACOB KYLE WILLIAMS
Case Manager/Care Coordinator
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (405) 372-2202
MADISSON VALDEZ
Peer Specialist
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (405) 205-1346
JAIME LYNN BUCKLEY
Peer Specialist
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (405) 372-2202
GUY JOSEPH BEAUDUY JR.
Counselor (Mental Health)
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (918) 671-5639
WHITNEY NICOLE HAMPTON
Case Manager/Care Coordinator
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (405) 372-2202
ASHLEY DANNNIELL MELSON
Peer Specialist
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (405) 372-2202
JACE SCOTT LMSW
Social Worker
1624 CIMARRON PLZ
STILLWATER, OK 74075
Payne County (405) 372-2202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Smith's NPI number?

The NPI number for Bryan Smith is 1104688308. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Bryan Smith located?

Bryan Smith practices at 1624 Cimarron Plz, Stillwater, OK 74075. The listed phone number is (844) 458-2100.

What is Bryan Smith's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Bryan Smith was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.