John William Smiddy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

920 Country Club Rd
Eugene, OR 97401-6024

Phone

(541) 687-1110

NPI assigned

May 26, 2026

Sex

Male

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

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1992636286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016024",
            "telephone_number": "541-687-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 8549",
            "address_purpose": "LOCATION",
            "city": "Coburg",
            "state": "OR",
            "postal_code": "974081313",
            "country_code": "US",
            "telephone_number": "541-687-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIDDY",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Joyce Smail
• Alyssa Mae Small, NP
• Jessie Lane Small
• Anna Quinn Smart, BIRTH DOULA
• Katia M. Smead
• Chloe Mali Smitasin, B.A.
• Smith & Jackson Family Dental PC
• Victor Thomas Smith Lapp, PSS
• Kelly Makana Smith- Ladore, SLPA
• Aaron Smith, BSN, RN

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.