Kristin Jennifer Smith, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1040 SW Puff LN Apt 13
College Place, WA 99324-1574

Phone

(503) 308-1413

NPI assigned

Apr 13, 2023

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

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1245926104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SW PUFF LN APT 13",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241574",
            "telephone_number": "503-308-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SW PUFF LN APT 13",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241574",
            "telephone_number": "503-308-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIN",
        "middle_name": "JENNIFER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabatha Maureen Shadel, LSWAIC
• Clarissa Shipowick, PMHNP
• Dylan Reed Shuler, DPT
• Crystal L Smith, RN
• Julee J Smith, LMT
• Lori Diane Smith, RN
• Robbie Smith
• Sonbridge Community Center
• Madison Faith Sprinkle
• Yvonne E Stratton, MD

• Mental Health Counselor in College Place, WA
• Providers in College Place, 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 Apr 13, 2023; 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.