Megan Rose Smith, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

27023 164TH Ave SE
Covington, WA 98042-8241

Phone

(253) 639-7146

NPI assigned

Feb 27, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mindsource Center, LLC

  • Community/Behavioral Health Agency
  • Covington, WA
  • NPI 1477978849
  NPD (past)

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1629602743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 PETER ANDERSON RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982334720",
            "telephone_number": "064-551-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27023 164TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428241",
            "telephone_number": "253-639-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajvir Singh, PHARMD
• Ravi Surendra Singh, MD
• Deionne Antonia Skusek, PA-C
• Joseph O Slotkin, MD
• Corene Smith, MSCP
• Robin Solash
• Rachel Soles
• Sonya's Private Practice PLLC
• Ashley Sorensen
• Christiane Faith Soriano-Miller, RN

• Behavior Technician in Covington, WA
• Providers in Covington, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.