Active NPI
Keisha Smith
- Addiction (Substance Use Disorder) Counselor
- Union Gap, WA
National Provider Identifier
1962610816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 408 W Pine St
#22
Union Gap, WA 98903-1971 - Phone
- (509) 901-4662
- NPI assigned
- May 21, 2007
- Last updated
- Jan 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
408 W Pine St
#22
Union Gap, WA 98903-1971
Mailing address
408 W Pine St
#22
Union Gap, WA 98903-1971
Phone (509) 901-4662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1962610816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 W PINE ST",
"address_2": "#22",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031971",
"telephone_number": "509-901-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W PINE ST",
"address_2": "#22",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031971",
"telephone_number": "509-901-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union Gap, WA
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 073)
- Shopko Stores Operating Co. LLC (ShopKo Optical 073)
- Shoptikal LLC (Shopko Optical 4073)
- Betty Simmons, CCC-SLP
- Melissa Sixberry, RN
- Lloyd D Smith, RPH
- Robin K Spooner, SLP
- Sunnyside Community Hospital Association (Astria Health Center)
- Sunnyside Community Hospital Association (Valley Medi-Center)
- Jennifer T Thayer, L.M.P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.