Ryan S Smith, M.ED., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0833 Issued in OR

Practice address

927 Country Club Rd Ste 200
Eugene, OR 97401-2272

Phone

(929) 464-4673

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Headwaters Therapy LLC

  • Marriage & Family Therapist
  • Eugene, OR
  • NPI 1538793591

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1811063845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 COUNTRY CLUB RD STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012272",
            "telephone_number": "541-604-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 COUNTRY CLUB RD STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012272",
            "telephone_number": "929-464-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.ED., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Smith, L.M.T.
• Rex D Smith, D.P.M.
• Ronald A Smith, PAC
• Ryan Atkinson Smith, M.ED.
• Ryan Lloyd Smith
• Sabrina Irene Smith
• Sally Smith
• Sharon Maire Smith, PHD
• Shawna Smith
• Sienna Danielle Smith

• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.