Individual provider Active NPI

Faren Chandler Smith, MSW

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1477018562
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SC60902329 Issued in WA
Practice address
3754 W Indian Trail Rd
Spokane, WA 99208-4700
Phone
(509) 559-3100
NPI assigned
Feb 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SC60902329 WA
Mental Health Counselor 101YM0800X SC60902329 WA Primary

Addresses

Primary practice location

3754 W Indian Trail Rd
Spokane, WA 99208-4700

Mailing address

11826 N Mayfair Rd Apt 34
Spokane, WA 99218-1863
Phone (509) 386-6520

Other practice location 1

2330 Eastgate St Ste 207
Walla Walla, WA 99362-1559
Phone (509) 593-8122 ext. 4

Other practice location 2

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336
Phone (509) 783-2085 ext. 4

Other practice location 3

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597

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

LicenseStateTypeSpecialty
SC60902329WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1477018562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11826 N MAYFAIR RD APT 34",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181863",
            "telephone_number": "509-386-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 W INDIAN TRAIL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084700",
            "telephone_number": "509-559-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Eastgate St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993621559",
            "country_code": "US",
            "telephone_number": "509-593-8122 x4",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 W Kennewick Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "99336",
            "country_code": "US",
            "telephone_number": "509-783-2085 x4",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 E Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991142629",
            "country_code": "US",
            "telephone_number": "509-684-4597",
            "fax_number": "509-684-5286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FAREN",
        "middle_name": "CHANDLER",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60902329",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC60902329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.