Kathryn Ann Smith, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4954 Issued in OR

Practice address

223 Pinner LN Apt 12
Medford, OR 97501-7526

Phone

(541) 919-5156

Fax

(541) 225-4878

NPI assigned

Oct 11, 2017

Last updated

Dec 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Ann Dougherty Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kathryn Smith Counseling, LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1225790850
  Medicare reassignment NPD Authorized official
• Rising Phoenix Counseling Services, LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1164952164
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1053821470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PINNER LN APT 12",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017526",
            "telephone_number": "541-919-5156",
            "fax_number": "541-225-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PINNER LN APT 12",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017526",
            "telephone_number": "541-919-5156",
            "fax_number": "541-225-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DOUGHERTY",
            "middle_name": "ANN",
            "credential": "LPC NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi E Smith, PT
• James Alan Smith, RN
• Jeffery O Smith, FNP
• Joleen Louise Smith, LMT, CST
• Karen Coughlin Smith, R.PH.
• Kelley Ann Smith, CADC I, CRM
• Kirk Macdonald Smith, MS, FNP
• Lauren Smith
• Lonnie Gene Smith, LMT, BS
• Marguerite Jean Smith, ANP

• Mental Health Counselor in Medford, OR
• Providers in Medford, 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 Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.