Kristopher Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

65 North Highway 101, Suite 204
Warrenton, OR 97146

Phone

(503) 325-0241

NPI assigned

Oct 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1053781864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 RUSSELL DR",
            "city": "HAMMOND",
            "state": "OR",
            "postal_code": "971219808",
            "telephone_number": "716-598-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTH HIGHWAY 101, SUITE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-325-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Schulz
• Alexandra Justine Scott
• Adam Shreve, RPH
• Brenna Jeanne Smith
• Collin Smith
• Naomi R Stephens, LPC
• Claude N Stevens
• Brianna Angelina Stone, FNP-C
• Colleen Marie Swanson, MN, FNP-BC
• Joseph Bradford Sweet

• Mental Health Counselor in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.