Rodney Allen Smith, CADC II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2023015136 Issued in MO

Practice address

3041 Gehlar Rd NW
1043
Salem, OR 97304-4289

Phone

(503) 980-3438

NPI assigned

Mar 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1639208952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 E BENNETT ST APT F15",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041758",
            "telephone_number": "907-841-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 GEHLAR RD NW",
            "address_2": "1043",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044289",
            "telephone_number": "503-980-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RODNEY",
        "middle_name": "ALLEN",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-7982",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023015136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Smith, DNP, FNP-C
• Monique B. Smith, CADC-R
• Nikki Smith, PTA
• Pamela P Smith, MD
• Robert Alexander Smith, QMHA
• Sarah Catherine Smith, MSW
• Sean Marlow Smith, D.D.S.
• Shetaye Smith, RN
• Sierra Lynn Smith, THW,PSS,CRM
• Simona Smith, LPC-A

• Professional Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.