Organization Active NPI

Smart Therapy, LLC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1679982284
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60043810 Issued in WA
Legal business name
SMART THERAPY, LLC
Practice address
9708 N Nevada St
Suite 205
Spokane, WA 99218-6004
Phone
(509) 466-0226
Fax
(844) 273-3042
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Candace Smart, M.S.NPI 1477788016
Title
Mental Health Counselor
Phone
(509) 703-8549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH60043810 WA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH60420747 WA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002511 WA

Addresses

Primary practice location

9708 N Nevada St
Suite 205
Spokane, WA 99218-6004

Mailing address

9708 N Nevada St
Suite 205
Spokane, WA 99218-6004
Phone (509) 466-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160617001626 WA Part B Supplier - Clinic/Group Practice 3274824461 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

9708 N Nevada St
Ste 205
Spokane, WA 99218
Phone (509) 466-0226

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1679982284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST",
            "address_2": "SUITE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186004",
            "telephone_number": "509-466-0226",
            "fax_number": "844-273-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST",
            "address_2": "SUITE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186004",
            "telephone_number": "509-466-0226",
            "fax_number": "844-273-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "509-703-8549",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60043810",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60420747",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002511",
            "primary": false
        }
    ],
    "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 Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.