Earlyn Susan Smith , LPC
Counselor • Portland, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Earlyn Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Earlyn Smith, LPC was a registered Counselor practicing in Portland, OR. Throughout an active medical career spanning 15 years, Earlyn Smith provided care at the practice location at 1500 NE IRVING ST until profile deactivation on 2022-01-17.
Practice Location & Contact Primary Location
1500 Ne Irving St
Suite 250
Portland, OR 972322243
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Portland, OR
Practicing in Portland, OR (4551 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Counselor - Mental Health
Master of Science
Student in an Organized Health Care Education/Training Program
Counselor
Master of Arts
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Bachelor of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 17, 2022
NPI status registered as active in NPPES database
Registered at 1500 NE IRVING ST, SUITE 250, PORTLAND, OR 972322243 (Tel: 5032334356)
Registered at 512 S STATE ST, LAKE OSWEGO, OR 970343858 (Tel: 5039614535)
Recorded as EARLYN SMITH, LPC
Counselor (License #CO825 in OR)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
512 S State St
Lake Oswego, OR 970343858
Phone: 5039614535
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