Alisha Smith, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000104959 Issued in OR

Practice address

2555 Silverton Rd NE
Salem, OR 97301-0837

Phone

(503) 393-4273

NPI assigned

Jul 2, 2021

Last updated

Apr 28, 2023By the provider in NPPES

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 identifiers 1

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1326619198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 CLAXTER CT NE APT 522",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012319",
            "telephone_number": "971-312-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010837",
            "telephone_number": "503-393-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALISHA",
        "credential": "PSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000104959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHA OFFICE OF EQUITY AND INCLUSION TRADITIONAL HEALTHCARE WORKER",
            "identifier": "THW000104959",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy J. Smith, PH.D.
• Ashley Smith
• Benjamin Smith, M.D.
• Bethany Smith
• Brandon Logan Smith

• Peer Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.