National Provider Identifier
Andrea Smith
Andrea Smith is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Pekin, IL and a listed phone number of (309) 347-5579.
Source: public NPPES record, last updated May 19, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1063095388
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 04, 2021
- Last Updated
- May 19, 2021
Practice Location
- 3248 Vandever Ave
- Pekin, IL 61554-6274
Phone: (309) 347-5579
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Endpoints
- scampen@tazwoodmhc.org
Connect Url | Pekin, IL 61554
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Biography
Andrea Smith is a Pekin, Illinois counselor whose federal provider record identifies her work in addiction and substance-use counseling. The same record lists Andrea Pepper as a former professional name and connects her practice record with Tazwood Mental Health Center’s domain, helping distinguish her from other providers with the same name.
Full Record
- NPI
- 1063095388
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Andrea
- Provider Other Last Name
- Pepper
- Provider Other First Name
- Andrea
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3248 Vandever Ave
- Mailing City
- Pekin
- Mailing State
- IL
- Mailing ZIP Code
- 61554-6274
- Mailing Country
- US
- Mailing Phone
- (309) 347-5579
- Practice Street Address
- 3248 Vandever Ave
- Practice City
- Pekin
- Practice State
- IL
- Practice ZIP Code
- 61554-6274
- Practice Country
- US
- Practice Phone
- (309) 347-5579
- Enumeration Date
- May 04, 2021
- Last Updated
- May 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 101YA0400X (Taxonomy)