Individual provider Active NPI

Rosemarie Smead, LPC

  • Counselor
  • Portland, OR
National Provider Identifier
1073770483
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C1195 Issued in OR
Practice address
7100 SE Division St
Portland, OR 97206-1123
Phone
(503) 916-6504
Fax
(503) 916-2714
NPI assigned
May 22, 2008
Last updated
Nov 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1195 OR Primary

Addresses

Primary practice location

7100 SE Division St
Portland, OR 97206-1123

Mailing address

7100 SE Division St
Portland, OR 97206-1143
Phone (503) 916-6504

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

State licenses

LicenseStateTypeSpecialty
C1195ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1073770483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061143",
            "telephone_number": "503-916-6504",
            "fax_number": "503-916-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061123",
            "telephone_number": "503-916-6504",
            "fax_number": "503-916-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEAD",
        "first_name": "ROSEMARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.