Lorrie Smith

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Phoenix, OR

NPI 1487031340 · NPPES record last updated Apr 29, 2015

Key facts

NPI
1487031340
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
149 S Main St
Phoenix, OR 97535-6631
Phone
(541) 535-4133
Fax
(541) 535-5458
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Center, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/phoenixcounseling/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

149 S Main St
Phoenix, OR 97535-6631

Mailing address

149 S Main St
PO Box 1257
Phoenix, OR 97535-6631
Phone (541) 535-4133

Other providers in Phoenix, OR

All providers in Phoenix, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.