William Smith

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61606411 Issued in WA

Practice address

21810 NE 37TH Ave
Ridgefield, WA 98642-7747

Phone

(844) 777-9242

NPI assigned

Sep 25, 2024

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

State licenses

Practice roles

Locations

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.

• X Change Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Ridgefield, WA
  • NPI 1033736491

  Peer Specialist

  NPD
• Xchange Behavioral Health Agency

  • Case Management Agency
  • Ridgefield, WA
  • NPI 1780313320
  NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1124845672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986041299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 NE 37TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427747",
            "telephone_number": "844-777-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61606411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Harrison Schrecengost, DMD
• Seen Eye Care, PLLC
• Joseph F Sepe, D.D.S.
• Emily L Sherwood
• Victoria V Smith, CPC
• Kristin Sorenson
• Chad Alan Spain, MD
• Spinal Fitness & Chiropractic Center PLLC
• Jonathan Kenneth Stehn, PA-C
• Martha Elaine Stewart, MA 60351243

• Peer Specialist in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.