Ryan Smith, BS, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

365 NE Court St
Prineville, OR 97754-1936

Phone

(541) 323-5330

Fax

(541) 447-6694

NPI assigned

Jun 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Lutheran Community Services Northwest

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1255542106
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1780098764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 NE COURT ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541936",
            "telephone_number": "541-323-5330",
            "fax_number": "541-447-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NE COURT ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541936",
            "telephone_number": "541-323-5330",
            "fax_number": "541-447-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "credential": "BS, QMHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283234",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Simpson, RN
• David Arno Skvorak, DDS
• Kimberly D Ann Slater, RN
• Paul Jay Slater, DC
• Kenneth W Smith, P.T.
• Kelsee Sofich, DPT
• Lauren Elizabeth Sorrells, LMT
• Chelsea Sparrell
• Debra Spicer, QMHA
• Ronald William Sproat, MD

• Mental Health Counselor in Prineville, OR
• Providers in Prineville, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.