Jacob Smyth, MFT IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

550 River Rd
Eugene, OR 97404-3212

Phone

(541) 743-2611

NPI assigned

Dec 21, 2013

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

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1811318686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29085 COUNTY HWY W",
            "city": "HOLCOMBE",
            "state": "WI",
            "postal_code": "547454546",
            "telephone_number": "715-204-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043212",
            "telephone_number": "541-743-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "JACOB",
        "credential": "MFT IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-21",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Smith, CADC II
• Travis Smith, BS, CADC I
• Tyler Brown Smith, P.T.
• Wesley Smith, DPT
• Zankhana Smith, PSY.D.
• Shannon Jensen Smyth, LPC, NCC, CCMHC
• Snell Fontus, MD, LLC
• Kathryn Simpson Snell-Ryan, LPC
• Angelique Snell, LMT
• Kayla Snell

• 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 Sep 1, 2023; 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.