Madeline R G Smith, LPC, QMHP, CADC-I
Individual provider Active NPI Professional Counselor · Saint Helens, OR
NPI 1962911552 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1962911552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C6641 (OR)
- Practice address
- 58646 McNulty Way
Saint Helens, OR 97051-6210 - Phone
- (503) 397-5211
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6641 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Community Mental Health | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Columbia Community Mental Health | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Columbia Community Mental Health | Past |
Accepting new patients |
Locations
58646 McNulty Way
Saint Helens, OR 97051
Phone (503) 397-0391
105 S 3rd St
Saint Helens, OR 97051
Phone (503) 397-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22-02-10343 | OR | |
| Professional Counselor | 101YP2500X | C6641 | OR | Yes |
Addresses
Primary practice location
58646 McNulty Way
Saint Helens, OR 97051-6210
Mailing address
PO Box 1234
Saint Helens, OR 97051-8234
Other providers in Saint Helens, OR
- Brandi Michelle Skvarna
- Karen Jo Smart
- Amy Smith
- Johnnie Justine Hilda Smith
- Kira Ann Smith
- Ray Weswley Smith Sr.
- Sophie K Smith
- Stuart Alan Smith Sr.
- Wamblee Aaron Smith
- Garrett Smoker
All providers in Saint Helens, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.