Individual provider Active NPI

Marcia Smaha, LPC

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1730467630
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7386 Issued in OR
Practice address
777 High St Ste 130
Eugene, OR 97401-2750
Phone
(541) 216-4034
Fax
(541) 216-4034
NPI assigned
Jul 26, 2011
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C7386 OR
Mental Health Counselor 101YM0800X C7386 OR Primary

Addresses

Primary practice location

777 High St Ste 130
Eugene, OR 97401-2750

Mailing address

777 High St Ste 130
Eugene, OR 97401-2750
Phone (541) 216-4034

Other practice location 1

777 High St Ste 240
Eugene, OR 97401-2759
Phone (541) 357-3248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823002896 OR Practitioner - Mental Health Counselor 1557809118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alive Counseling Clinic, LLC Professional CurrentSince Jul 1, 2024 Accepting new patients

Locations

777 High St
Ste 130
Eugene, OR 97401
Phone (541) 216-4034

777 High St
Ste 240
Eugene, OR 97401
Phone (541) 357-3248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1730467630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HIGH ST STE 130",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012750",
            "telephone_number": "541-216-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HIGH ST STE 130",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012750",
            "telephone_number": "541-216-4034",
            "fax_number": "541-216-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 High St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012759",
            "country_code": "US",
            "telephone_number": "541-357-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMAHA",
        "first_name": "MARCIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7386",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.