What is Jennifer Smith's NPI number?

The NPI number assigned to this healthcare provider is 1376169102, enumerated as a individual on June 17, 2020.

Where is the provider located?

The provider is located at 4455 NE HIGHWAY 20 CORVALLIS, OR 97330 and the phone number is (541) 758-5900.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

MS. JENNIFER ELLEN SMITH - NPI 1376169102 - Counselor in Corvallis, OR

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About Ms. Jennifer Ellen Smith NPPES

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

MS. JENNIFER ELLEN SMITH (NPI 1376169102) is an individual counselor in Corvallis, Oregon and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1376169102

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. JENNIFER ELLEN SMITH

Location Address4455 NE HIGHWAY 20Corvallis, OR 97330-9695

Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591

Phone(541) 758-5900

Sole ProprietorNo

Enumeration DateJune 17, 2020

NPPES CertifiedJune 17, 2020

✔ NPI 1376169102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

4455 NE HIGHWAY 20, Corvallis, OR 97330

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