AMY C SMITH CADC, CRM, QMHA
NPI 1114479599
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Q: What is Amy Smith's NPI number?

The NPI number for Amy Smith is 1114479599. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Q: What is Amy Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Amy Smith was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since November 01, 2016

17645 NW SAINT HELENS RD, PORTLAND, OR 97231(503) 621-1069(503) 621-0200 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Mar 3, 2026, Jun 17, 2024 and 3 more (6 updates tracked since 2016).

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About Amy C Smith Cadc, Crm, Qmha NPPES

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

AMY C SMITH CADC, CRM, QMHA (NPI 1114479599) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (21-01-10037) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1114479599

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameAMY C SMITHCredential: CADC, CRM, QMHA

Location Address17645 NW SAINT HELENS RDPortland, OR 97231-1729

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (971) 217-9008 · Fax (971) 260-0355

Phone(503) 621-1069

Fax(503) 621-0200

Sole ProprietorNo

Enumeration DateNovember 1, 2016

Last NPPES UpdateApril 28, 20266 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1114479599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 21-01-10037

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23-QMHA-R-4488 (OR)

Also ListedPeer SpecialistTaxonomy 175T00000X · License 23-CRM-1940 (OR)

17645 NW SAINT HELENS RD, Portland, OR 97231

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Other Identifiers 4

Other16-07-17OR · Mhacbo Cadc-i

Other23-CRM-1940OR · Mhacbo Crm

Medicaid500717291OR

Other21-01-10037OR · Mhacbo Cadc-ii

Other Providers at the Same Location NPPES 20

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

NATIVE AMERICAN REHABILITATION ASSOC INC

Clinic/Center (Federally Qualified Health Center (FQHC))