Nicole Michele Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60919531 Issued in WA

Practice address

908 5TH Ave SE
Olympia, WA 98501-1507

Phone

(360) 754-2423

Fax

(360) 357-2819

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1881165124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 5TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011507",
            "telephone_number": "360-754-2423",
            "fax_number": "360-357-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 5TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011507",
            "telephone_number": "360-754-2423",
            "fax_number": "360-357-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60919531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra K. Smith, M.D.
• Lorna Smith, O.T.
• Mackenzie Smith, PHARMD
• Madeleine Stott Smith, RN
• Meagan Kristine Smith
• Pamela Jean Smith
• Patrick Riley Smith, DO
• Rachel Ann Smith
• Rylee Jean Smith
• Sandra Mae Smith, PHYSICAL THERAPIST A

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.