DR. ROBERT B SMITH JR. PSYD
NPI 1841758653
Counselor - Mental Health in Sammamish, WA

Active since March 11, 2019Opted out of Medicare · through Jun 16, 2027
2830 228TH AVE SE STE C, SAMMAMISH, WA 98075(425) 677-0966 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Mar 11, 2019 (2 updates tracked since 2019).

About Dr. Robert B Smith Jr. Psyd NPPES

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

DR. ROBERT B SMITH JR. PSYD (NPI 1841758653) is an individual mental health provider in Sammamish, Washington, licensed in Washington (LH60795300) and active in the NPI registry since March 2019. He has opted out of Medicare through June 16, 2027.

NPPES Registry Identity

NPI1841758653
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. ROBERT B SMITH JR.Credential: PSYD
Location Address2830 228TH AVE SE STE CSammamish, WA 98075-9300
Mailing Address2830 228th Ave Se Ste CSammamish, WA 98075-9300 · (425) 677-0966
Sole ProprietorNo
Enumeration DateMarch 11, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1841758653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH60795300
2830 228TH AVE SE STE C, Sammamish, WA 98075

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert B Smith Jr. Psyd 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 June 16, 2025 through June 16, 2027.

Opt-Out Effective DateJune 16, 2025
Opt-Out In Effect ThroughJune 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Robert Smith's NPI number?

The NPI number for Robert Smith is 1841758653. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Robert Smith located?

Robert Smith practices at 2830 228th Ave SE Ste C, Sammamish, WA 98075. The listed phone number is (425) 677-0966.

What is Robert Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Robert Smith enrolled in Medicare?

No. Robert Smith has opted out of Medicare through June 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Robert Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Robert Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Smith was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.