Janina Smith, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L10910 Issued in OR

Practice address

405 NE 3Rd St Ste 7
McMinnville, OR 97128-6219

Phone

(503) 664-1446

Fax

(503) 607-8600

NPI assigned

Dec 11, 2018

Last updated

Jul 26, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1376014738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NE 3RD ST STE 7",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286219",
            "telephone_number": "503-664-1446",
            "fax_number": "503-607-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE 3RD ST STE 7",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286219",
            "telephone_number": "503-664-1446",
            "fax_number": "503-607-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L10910",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500761787",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Autumn Smiley, L.M.T.
• Alicia Marie Smith, CMA
• Alyssa Lynn Smith, PA
• Barbara Smith
• Jamie Jolyn Smith
• Jillien Elizabeth Smith
• Kari Smith
• Linda Smith
• Mackenzie Anne Smith
• Mark Kenneth Smith

• Mental Health Counselor in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.