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

EBONY A SMITH
NPI 1356050058
Counselor in Tukwila, WA

Q: What is Ebony Smith's NPI number?

The NPI number for Ebony Smith is 1356050058. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Q: What is Ebony Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebony Smith was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 21, 2022

1101 ANDOVER PARK W STE 107, TUKWILA, WA 98188(253) 890-7384 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Nov 21, 2022 (2 updates tracked since 2022).

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About Ebony A Smith NPPES

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

EBONY A SMITH (NPI 1356050058) is an individual counselor in Tukwila, Washington, licensed in Washington (CAAC.CQ.70038578) and active in the NPI registry since November 2022. She maintains a secondary practice location in Kent.

NPPES Registry Identity

NPI1356050058

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameEBONY A SMITH

Location Address1101 ANDOVER PARK W STE 107Tukwila, WA 98188-3911

Mailing Address1101 Andover Park W Ste 107Tukwila, WA 98188-3911 · (253) 890-7384

Phone(253) 890-7384

Sole ProprietorNo

Enumeration DateNovember 21, 2022

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1356050058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · CAAC.CQ.70038578

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1101 ANDOVER PARK W STE 107, Tukwila, WA 98188

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Secondary Practice Location 1

Location 1325 W Gowe StKent, WA 98032-5892 · Phone (253) 833-7444 · Fax (253) 661-8631

Other Identifiers 1

Medicaid2238126WA

Other Providers at the Same Location NPPES 14

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

AHLYN KEUIONALANI DAY MA

Technician, Health Information