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NICHOLAS MICHAEL SHOESMITH QMHA
NPI 1912276841
Counselor - Mental Health in Grants Pass, OR

Active since December 21, 2011
1215 SW G ST, GRANTS PASS, OR 97526(541) 476-2373 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 26, 2019, May 4, 2018 (2 updates tracked since 2018).

About Nicholas Michael Shoesmith Qmha NPPES

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

NICHOLAS MICHAEL SHOESMITH QMHA (NPI 1912276841) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since December 2011. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1912276841
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS MICHAEL SHOESMITHCredential: QMHA
Location Address1215 SW G STGrants Pass, OR 97526
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateDecember 21, 2011
Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration
✔ NPI 1912276841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
1215 SW G ST, Grants Pass, OR 97526
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Secondary Practice Location 1

Location 1Parry Center 3415 SE Powell BlvdPortland, OR 97202 · Phone (503) 234-9591

Other Identifiers 1

Medicaid1912276841OR

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.

MS. LISA JEAN MEREDITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
SAMANTHA TEVIS
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JORGE ROMERO
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JOANNE E LITTLE
Registered Nurse
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. STACY LYNN BANCROFT LCSW
Social Worker (Clinical)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. MAUREEN MARGARET MAHONEY LPC
Counselor (Professional)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
LETTY SMITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. LISA MICHELE CAMERON
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373

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 Nicholas Shoesmith's NPI number?

The NPI number for Nicholas Shoesmith is 1912276841. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Nicholas Shoesmith located?

Nicholas Shoesmith practices at 1215 SW G St, Grants Pass, OR 97526. The listed phone number is (541) 476-2373.

What is Nicholas Shoesmith's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicholas Shoesmith was last updated on February 26, 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.