Brad Richard Smedley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-7872 Issued in ID

Practice address

5920 N Government Way Ste 4
Dalton Gardens, ID 83815-9200

Phone

(509) 989-4935

NPI assigned

Jul 22, 2015

Last updated

Dec 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifehouse Healthcare PLLC

  dba Lifehouse Healthcare

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1467142315
  Medicare reassignment NPD
• Cda Counseling Services

  • Mental Health Counselor
  • Dalton Gardens, ID
  • NPI 1659106441
  NPD Authorized official

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1356726145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 N SCOTCH PINE LN APT 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838151899",
            "telephone_number": "509-989-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 N GOVERNMENT WAY STE 4",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159200",
            "telephone_number": "509-989-4935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 N Scotch Pine Ln",
            "address_purpose": "LOCATION",
            "city": "Coeur d Alene",
            "state": "ID",
            "postal_code": "838151899",
            "country_code": "US",
            "telephone_number": "208-243-9397",
            "fax_number": "877-221-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "BRAD",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF60804635",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMFT-7872",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Dalton Gardens, ID
• Providers in Dalton Gardens, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.