Michelle Christina Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60176868 Issued in WA

Practice address

909 W Main St
Ste 102a
Monroe, WA 98272-2030

Phone

(360) 805-3122

Fax

(360) 805-9180

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1164735452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST",
            "address_2": "STE 102A",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722030",
            "telephone_number": "360-805-3122",
            "fax_number": "360-805-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60176868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Elizabeth Slack, LMT
• Chrystal Slatter, CERTIFIED PEER COUNS
• Gary O Smith, RPH
• Kristin Tomblin Smith, LMP
• Logan Donovon Smith, BS
• Snohomish County Fire District 3
• Snohomish Regional Fire and Rescue
• Snohomish Valley Breastfeeding
• Jennifer Solley, PHARMD
• Lynn Jeanne Stanley, RN

• Mental Health Counselor in Monroe, WA
• Providers in Monroe, WA by specialty
• Mental Health Counselor in Washington

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