Organization Active NPI

Dana J Smith, PLLC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1053178285
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DANA J SMITH, PLLC
Practice address
1112 Daniels St Ste 40
Vancouver, WA 98660-2954
Phone
(360) 409-1301
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Dana J Smith, MA, LMHC, MHPNPI 1720751472
Title
Owner
Phone
(360) 409-1301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1112 Daniels St Ste 40
Vancouver, WA 98660-2954

Mailing address

1112 Daniels St Ste 40
Vancouver, WA 98660-2954
Phone (360) 409-1301

National Provider Directory

National Provider Directory

Locations

1112 Daniels St
Ste 40
Vancouver, WA 98660
Phone (360) 409-1301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1053178285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 DANIELS ST STE 40",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602954",
            "telephone_number": "360-409-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 DANIELS ST STE 40",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602954",
            "telephone_number": "360-409-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA J SMITH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-409-1301",
        "authorized_official_credential": "MA, LMHC, MHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.