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JEREMY MICHAEL SMITH
NPI 1508481912
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since June 11, 2020
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691(541) 673-5642 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Michael Smith NPPES

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

JEREMY MICHAEL SMITH (NPI 1508481912) is an individual addiction (substance use disorder) provider in Roseburg, Oregon and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1508481912
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY MICHAEL SMITH
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing Address621 W Madrone StRoseburg, OR 97470-3090 · (541) 672-2691 · Fax (541) 673-5642
Phone(541) 672-2691
Fax(541) 673-5642
Sole ProprietorNo
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1508481912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
621 W MADRONE ST, Roseburg, OR 97470
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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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Jeremy Smith's NPI number?

The NPI number for Jeremy Smith is 1508481912. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Jeremy Smith located?

Jeremy Smith practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Jeremy Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Smith was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.