Individual provider Active NPI

Ray William Smith, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1740268804
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004487 Issued in WA
Practice address
9507 N Division St
The Holland Building, Suite a
Spokane, WA 99218-1248
Phone
(509) 466-6632
Fax
(509) 466-0117
NPI assigned
Jan 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00004487 WA Primary

Addresses

Primary practice location

9507 N Division St
The Holland Building, Suite a
Spokane, WA 99218-1248

Mailing address

9507 N Division St
The Holland Building, Suite a
Spokane, WA 99218-1248
Phone (509) 466-6632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH00004487WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
A Brief Counseling Center Past Accepting new patients
A Brief Counseling Center Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: raysmith@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1740268804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 N DIVISION ST",
            "address_2": "THE HOLLAND BUILDING, SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181248",
            "telephone_number": "509-466-6632",
            "fax_number": "509-466-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 N DIVISION ST",
            "address_2": "THE HOLLAND BUILDING, SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181248",
            "telephone_number": "509-466-6632",
            "fax_number": "509-466-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-08",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004487",
            "primary": true
        }
    ],
    "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 Dec 7, 2015; 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.