MR. SHANNON JENSEN SMYTH


Address: Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401
Phone: 5416710448

MR. SHANNON JENSEN SMYTH (NPI# 1962992180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962992180
Entity Type Individual
Full Name MR. SHANNON JENSEN SMYTH
Credential LPC, NCC, CCMHC
Practice Address Va Eugene Downtown Clinic
211 E. 7th Ave
Eugene
OR 97401
Mailing Address 2765 Kismet Way
Eugene
OR 97405-6208
Practice Telephone 5416710448
Mailing Telephone 5418702751
Enumeration Date 2018-05-14
Last Update Date 2020-09-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
C5327 OR Behavioral Health & Social Service Providers

Office Location

Street Address VA EUGENE DOWNTOWN CLINIC
211 E. 7TH AVE
City EUGENE
State OR
Zip Code 97401

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1851957047 Altru Home Care LLC Nursing Care 1345 Olive St., Eugene, OR 97401 2019-05-14
1881155208 Herron Jordanna Spence Speech-Language Pathologist 385 West 2nd Ave., Eugene, OR 97401 2019-03-28
1750855094 Brandon Marshall Counselor 1158 High St Ste 202, Eugene, OR 97401 2019-01-21
1881172591 Kayla Nicole O'brien Nurse Practitioner Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 2018-08-03
1902305956 Christine Noel Gray Peer Specialist 499 W. 4th Ave, Eugene, OR 97401 2018-02-06
1821507344 Anjuli Chitkara Psychologist 1679 Willamette Street, Eugene, OR 97401 2017-09-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508467333 Paula J. Bloom Counselor 66 Club Rd Ste No350, Eugene, OR 97401-2420 2020-11-06
1902406903 Karen Elizabeth Sanchez Dean Counselor 1957 Lemming Ave, Eugene, OR 97401-7231 2020-10-28
1356941629 Alexandra Suzanne Parker Counselor 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 2020-10-27
1417554247 Counseling Practitioners LLC Counselor 1342 High St, Eugene, OR 97401-3237 2020-10-05
1881203404 Caitlin Joyce, Lcsw LLC Counselor 1860 Willamette St Ste 200, Eugene, OR 97401-4044 2020-07-29
1134754013 Luis Martinez Counselor 1973 Garden Avenue, Eugene, OR 97403 2020-03-11
1427681709 Sarah Voigt Counselor 2149 Centennial Plaza Suite #4, Eugene, OR 97401 2020-02-14
1326600453 Don Sellers Lcsw LLC Counselor 1390 Oak St Ste 1, Eugene, OR 97401-3567 2019-06-28
1235796855 L. Kay Mcdonald Counselor 1776 Millrace Dr Ste 200, Eugene, OR 97403-2536 2019-05-20
1093371130 Rites of The Heart, LLC Counselor 1840 Willamette St, Eugene, OR 97401-4601 2019-05-14
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Competitor

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City EUGENE
Zip Code 97401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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