Heather Marie Smidt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A3643 Issued in OR

Practice address

114 SE 1St St
Pendleton, OR 97801-2204

Phone

(541) 429-9000

Fax

(855) 738-7698

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Marie Smidt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Community Counseling Solutions

  • Rural Health Clinic/Center
  • John Day, OR
  • NPI 1487992665
  NPD
• Community Counseling Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Heppner, OR
  • NPI 1578501771
  NPD
• Grant County

  • Family Nurse Practitioner
  • John Day, OR
  • NPI 1629009022
  NPD
• All Heart Counseling Services

  • Community/Behavioral Health Agency
  • Pendleton, OR
  • NPI 1104276302
  NPD (past)
• Osoa Therapy

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1154619963
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1215334263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1703",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010540",
            "telephone_number": "541-429-9000",
            "fax_number": "855-738-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SE 1ST ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012204",
            "telephone_number": "541-429-9000",
            "fax_number": "855-738-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDT",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A3643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SMIDT",
            "middle_name": "MARIE",
            "credential": "CSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria A Simpson
• Jennifer Sheree Sims, CADC-R, CRM, PSS
• Mildred J Sims
• W. Norman Sitz, MD
• Dawn Skinner
• Ashley Nicoel Smith, DNP, FNP-C
• Cheri E Smith, MS, LRCP
• Danny Smith, CRNA
• Donald James Smith, CADC 1
• Jessica L Smith

• Clinical Social Worker in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.