KEENAN RAY TOM SMITH
NPI 1912500513
Rehabilitation Counselor in Ukiah, CA

Q: What is Keenan Smith's NPI number?

The NPI number for Keenan Smith is 1912500513. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Q: What is Keenan Smith's specialty?

The primary specialty registered for this NPI is Rehabilitation Counselor with taxonomy code 225C00000X.

Q: When was this NPI record last updated?

The NPPES record for Keenan Smith was last updated on November 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.

Active since November 17, 2020

776 S STATE ST STE 107, UKIAH, CA 95482(707) 463-4915 Get Directions Write a Review

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

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About Keenan Ray Tom Smith NPPES

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

KEENAN RAY TOM SMITH (NPI 1912500513) is an individual rehabilitation counselor in Ukiah, California and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1912500513

Entity TypeIndividualMale

Primary Taxonomy225C00000X

Provider Legal NameKEENAN RAY TOM SMITH

Location Address776 S STATE ST STE 107Ukiah, CA 95482-5858

Mailing Address776 S State St Ste 107Ukiah, CA 95482-5858 · (707) 463-4915

Phone(707) 463-4915

Sole ProprietorYes

Enumeration DateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1912500513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225C00000X

Definition

An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.

776 S STATE ST STE 107, Ukiah, CA 95482

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