Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184140881 Individual Practitioner Female Practitioner

Kimberly Denise Smith , CPC

Peer Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Kimberly Smith, CPC is a registered healthcare professional specializing in Peer Specialist in Longview, WA. Practice services are available at 720 14TH AVE FL 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 14th Ave Fl 2

Longview, WA 986322315

Telephone 3604230203
Fax 3604237086
Associated Practice Facility / Clinic
🏢 Columbia Wellness Facility NPI 1487659579

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Longview, WA

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

Practicing in Longview, 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA 60756167

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
NPI 1003328261
NPI 1013150119

Master of Arts

NPI 1013415439
Evalyn Evangelista , RN

Registered Nurse

NPI 1013472984

Registered Nurse

Melissa Jarvis

Counselor - Mental Health

NPI 1013565357
Heather Gaines

Counselor - Mental Health

NPI 1023446325

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2017

Registered at 720 14TH AVE FL 2, LONGVIEW, WA 986322315 (Tel: (360) 423-0203)

📍
Updated Business Mailing Address August 15, 2017

Registered at 720 14TH AVE FL 2, LONGVIEW, WA 986322315 (Tel: 3604230203)

👤
Provider Name / Credentials Updated August 15, 2017

Recorded as KIMBERLY SMITH, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Peer Specialist (License #60756167 in WA)

🟢
Initial NPI Registration & Enumeration August 15, 2017

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: 1184140881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

720 14th Ave Fl 2

Longview, WA 986322315

Phone: 3604230203

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.