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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY BRYNE MATT-SMITH LPC
NPI 1053967570
Counselor - Professional in Medford, OR

Active since August 12, 2019PECOS EnrolledAccepts Medicare Assignment
1000 E MAIN ST, MEDFORD, OR 97504(541) 500-0977(541) 842-7640 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Oct 10, 2023, Aug 12, 2019 (3 updates tracked since 2019).

About Shelby Bryne Matt-smith Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY BRYNE MATT-SMITH LPC (NPI 1053967570) is an individual professional provider in Medford, Oregon, licensed in Oregon (C7737) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053967570
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHELBY BRYNE MATT-SMITHCredential: LPC
Location Address1000 E MAIN STMedford, OR 97504-7449
Mailing Address1221 Disk DrMedford, OR 97501-6638 · (541) 500-0977
Phone(541) 500-0977
Fax(541) 842-7640
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 12, 2019
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1053967570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7737
1000 E MAIN ST, Medford, OR 97504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Bryne Matt-smith Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961925698
PECOS Enrollment IDI20250402003277
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARISSA EVANELL CARSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 842-7705
ROGUE COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 842-7705
DANIELLE LOUISE MARTIN LCSW
Social Worker (Clinical)
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DARIN DALE LCSW
Social Worker (Clinical)
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 930-5611
MR. KAIUS ALEXANDER HALL MCOUN, CRC
Counselor (Mental Health)
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
WAYNE HOAGLAND LPC
Counselor (Professional)
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
SONJA YOUNG PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 842-7705
ROGUE COMMUNITY HEALTH
Counselor (Addiction (Substance Use Disorder))
1000 E MAIN ST
MEDFORD, OR 97504
Jackson County (541) 930-5611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Matt-smith's NPI number?

The NPI number for Shelby Matt-smith is 1053967570. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Shelby Matt-smith located?

Shelby Matt-smith practices at 1000 E Main St, Medford, OR 97504. The listed phone number is (541) 500-0977.

What is Shelby Matt-smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shelby Matt-smith enrolled in Medicare?

Yes. Shelby Matt-smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Matt-smith accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shelby Matt-smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Matt-smith was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.