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Active NPI 1124201405 Individual Practitioner Female Practitioner

Hideko Smith , AAC, PEER COUNSELOR

Peer Specialist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Hideko Smith, AAC, PEER COUNSELOR is a registered healthcare professional specializing in Peer Specialist in Everett, WA. Practice services are available at 811 MADISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

811 Madison St

Everett, WA 982034543

Telephone 4252124200
Fax 4252124201
Associated Practice Facility / Clinic
🏢 Sunrise Services, Inc. Facility NPI 1205917317

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
180 Specialists

Practicing in Everett, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-11
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rita Kostelik , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003009135

Advanced Registered Nurse Practitioner

NPI 1003210477

Registered Nurse

Ashley Dyer

Counselor

NPI 1003261405
Beverly Carman , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1003262957
Kayleigh Thomas

Counselor - Mental Health

NPI 1003293663
NPI 1003357856

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 11, 2022

Registered at 811 MADISON ST, EVERETT, WA 982034543 (Tel: 4252124200)

📍
Updated Business Mailing Address January 11, 2022

Registered at PO BOX 2569, EVERETT, WA 982130569 (Tel: 4252124200)

👤
Provider Name / Credentials Updated January 11, 2022

Recorded as HIDEKO SMITH, AAC, PEER COUNSELOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Peer Specialist

NPI Profile Active December 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2007

Registered at 10407 AIRPORT RD, EVERETT, WA 982043540 (Tel: 4253745610)

📍
Updated Business Mailing Address December 10, 2007

Registered at 13000 ADMIRALTY WAY, A 302, EVERETT, WA 982046259 (Tel: 2062266811)

👤
Provider Name / Credentials Updated December 10, 2007

Recorded as HIDEKO SMITH, 12-10-2007

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2007

Counselor (License #RC 00059310 in WA)

🟢
Initial NPI Registration & Enumeration December 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124201405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2007
Last Update: January 11, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 2569

Everett, WA 982130569

Phone: 4252124200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.