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KELLEY ANN SMITH CADC I, CRM
NPI 1689165664
Counselor - Addiction (Substance Use Disorder) in Medford, OR

Active since May 24, 2018
300 W MAIN ST, MEDFORD, OR 97501(541) 772-1777(541) 734-2410 Get Directions Write a Review

NPPES record last updated: October 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2020, Jul 3, 2018, May 24, 2018 (3 updates tracked since 2018).

About Kelley Ann Smith Cadc I, Crm NPPES

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

KELLEY ANN SMITH CADC I, CRM (NPI 1689165664) is an individual addiction (substance use disorder) provider in Medford, Oregon, licensed in Oregon (17-07-25) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1689165664
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLEY ANN SMITHCredential: CADC I, CRM
Location Address300 W MAIN STMedford, OR 97501-2756
Mailing Address300 W Main StMedford, OR 97501-2756 · (541) 772-1777 · Fax (541) 734-2410
Phone(541) 772-1777
Fax(541) 734-2410
Sole ProprietorNo
Enumeration DateMay 24, 2018
Last NPPES UpdateOctober 17, 20203 updates tracked since enumeration
NPPES CertifiedOctober 17, 2020
✔ NPI 1689165664 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
License✔ Licensed in OR · 17-07-25
300 W MAIN ST, Medford, OR 97501
Open in Google Maps ↗

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.

SHOSHANNA NOELLE LANE
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MISS BRENDA PALOMERA
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
MONICA BOONE
Technician, Health Information
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-4648
JOSUE R GUERRERO CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
CODY J DOLLARHIDE
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 772-1777
SHERRI LEE LANDRENEAU CADC-R
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (547) 772-1777
ARCHANA N SUNDAR
Counselor (Mental Health)
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 237-5059
KAYLA LUSK
Counselor (Addiction (Substance Use Disorder))
300 W MAIN ST
MEDFORD, OR 97501
Jackson County (541) 200-2414

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 Kelley Smith's NPI number?

The NPI number for Kelley Smith is 1689165664. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Kelley Smith located?

Kelley Smith practices at 300 W Main St, Medford, OR 97501. The listed phone number is (541) 772-1777.

What is Kelley 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 Kelley Smith was last updated on October 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.