MR. JOHN JOSEPH SMITH
NPI 1235520602
Counselor - Addiction (Substance Use Disorder) in Lakewood, OH

Q: What is John Smith's NPI number?

The NPI number for John Smith is 1235520602. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Q: What is John Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for John Smith was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 06, 2015

17400 NORTHWOOD AVE, LAKEWOOD, OH 44107(216) 403-8640(216) 862-1243 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. John Joseph Smith NPPES

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

MR. JOHN JOSEPH SMITH (NPI 1235520602) is an individual addiction (substance use disorder) provider in Lakewood, Ohio, licensed in Ohio (101YA0400X) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1235520602

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. JOHN JOSEPH SMITH

Location Address17400 NORTHWOOD AVELakewood, OH 44107-2210

Mailing Address2109 Wooster Rd, Suite 54Rocky River, OH 44116-2674 · (216) 407-0437 · Fax (216) 862-5143

Phone(216) 403-8640

Fax(216) 862-1243

Sole ProprietorNo

Enumeration DateFebruary 6, 2015

Last NPPES UpdateMarch 3, 2015

✔ NPI 1235520602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 101YA0400X

17400 NORTHWOOD AVE, Lakewood, OH 44107

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Other Identifiers 1

Medicaid1714764OH

Other Providers at the Same Location NPPES 2

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

OLD SCHOOL LLC

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

17400 NORTHWOOD AVE
LAKEWOOD, OH 44107

Cuyahoga County (216) 403-8640

SHANNON DEVAUGHN SMITH

Counselor (Addiction (Substance Use Disorder))

17400 NORTHWOOD AVE
LAKEWOOD, OH 44107

Cuyahoga County (216) 403-8640

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 John Smith's NPI number?

The NPI number for John Smith is 1235520602. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is John Smith located?

John Smith practices at 17400 Northwood Ave, Lakewood, OH 44107. The listed phone number is (216) 403-8640.

What is John Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.