Raymond Harry Smith Jr., M.S.,P.P.S.,M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC40507 Issued in CA

Practice address

9613 Oakham Way
Elk Grove, CA 95757

Phone

(916) 521-2677

NPI assigned

Oct 3, 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

Other names 1

• Mr. Ray Smith Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1871688234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 OAKHAM WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575116",
            "telephone_number": "916-521-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 OAKHAM WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757",
            "telephone_number": "916-521-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYMOND",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S.,P.P.S.,M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC40507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "SMITH",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "MS, MFT, ORDAINED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Monique Smith
• Morgan Brittaney Smith
• Pamela Jay Smith
• Patricia D Smith, LVN
• Paula R Smith, PH.D.
• Sandra Smith
• Sharron Smith
• Sheridan Smith
• Solomon A Smith, MENTAL HEALTH TECH
• Tanya Lashon Smith, MBA

• Mental Health Counselor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.