Active NPI
Lawrence M. Smith, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1225099179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1278
- Practice address
- 5125 SW Macadam Ave
Suite 145
Portland, OR 97239-3820 - Phone
- (503) 231-7854
- Fax
- (503) 231-8153
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1278 | OR | Primary |
Addresses
Primary practice location
5125 SW Macadam Ave
Suite 145
Portland, OR 97239-3820
Mailing address
4122 NE 26TH Ave
Portland, OR 97211-6502
Phone (503) 331-1993
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1278 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Dialectical Behavior Therapy PC | Past | Accepting new patients | |
| The DBT Clinic, PC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Portland, OR
- NPI 1801203765
-
- Cognitive & Behavioral Psychologist
- Portland, OR
- NPI 1619913787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225099179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 NE 26TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116502",
"telephone_number": "503-331-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 SW MACADAM AVE",
"address_2": "SUITE 145",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393820",
"telephone_number": "503-231-7854",
"fax_number": "503-231-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LAWRENCE",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1278",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.