Mary Smith Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARY SMITH COUNSELING SERVICES

Practice address

4605 NE Fremont St
Portland, OR 97213-1707

Phone

(971) 716-4822

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Mary Edson Smith, LCSWNPI 1891301990

Title

Therapist

Phone

(971) 716-4822

Specialties & licenses 1

Addresses

Other names 1

• Kind Mind Therapy Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Edson Smith, LCSW

  • Clinical Social Worker
  • Gresham, OR
  • NPI 1891301990
  NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1669294732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 NE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132858",
            "telephone_number": "971-716-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131707",
            "telephone_number": "971-716-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SMITH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "EDSON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "971-716-4822",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kind Mind Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Penny Domm
• Mary Anne Stowell LCSW, PC
• Mary Frazel ND
• Mary K. Williams
• Mary Lee Nichols PHD LLC
• Mary W. Lu, MD, LLC
• Marya Deda Inc
• Maryam M. Motlagh DMD PC
• Emil Tristan Marz
• Russell Bennett Marz, ND, LAC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.