TEREASA DENE SMITH LMHC
NPI 1619635141
Counselor - Mental Health in Lynnwood, WA
About Tereasa Dene Smith Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEREASA DENE SMITH LMHC (NPI 1619635141) is an individual mental health provider in Lynnwood, Washington, licensed in Washington (61419489) and active in the NPI registry since December 2021. She has opted out of Medicare through January 11, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tereasa Dene Smith Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LYNNWOOD, WA 98036
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 Tereasa Smith's NPI number?
The NPI number for Tereasa Smith is 1619635141. It was assigned to this individual provider in the NPPES registry on December 1, 2021.
Where is Tereasa Smith located?
Tereasa Smith practices at 5108 196th St SW Ste 208, Lynnwood, WA 98036. The listed phone number is (425) 530-7828.
What is Tereasa Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tereasa Smith enrolled in Medicare?
No. Tereasa Smith has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Tereasa Smith was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tereasa Dene Smith, LMHC · NPI 1619635141
Mental Health provider in Lynnwood, Washington. Individual provider, active in the CMS NPPES registry since December 1, 2021.
## Identity
- **NPI:** 1619635141 (Entity type: Individual)
- **Enumerated:** December 1, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 61419489 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 5108 196TH ST SW STE 208, Lynnwood, WA 98036-6152
- **Phone:** (425) 530-7828
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 11, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619635141) · Data from the CMS NPPES public registry.