Individual provider Active NPI

Tenea Smith

  • Mental Health Counselor
  • Coos Bay, OR
National Provider Identifier
1043468978
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
150 S Wall St
Coos Bay, OR 97420-3233
Phone
(360) 531-2099
Fax
(360) 531-2099
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

150 S Wall St
Coos Bay, OR 97420-3233

Mailing address

150 S Wall St
Coos Bay, OR 97420-3233
Phone (541) 435-7200

Other practice location 1

615 5th St
Brookings, OR 97415-9199
Phone (541) 469-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians PastSince Mar 1, 2024 Accepting new patients
Columbiacare Services PastSince Oct 1, 2021 Accepting new patients
Columbiacare Services PastSince Oct 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1043468978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "541-435-7200",
            "fax_number": "541-888-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "360-531-2099",
            "fax_number": "360-531-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 5th St",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "OR",
            "postal_code": "974159199",
            "country_code": "US",
            "telephone_number": "541-469-9299",
            "fax_number": "541-247-6549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.