Provider Demographics
NPI:1538120811
Name:SMITH, APRIL (MA, LPC CADCII)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 MARINE DR STE B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-2836
Mailing Address - Country:US
Mailing Address - Phone:503-593-2432
Mailing Address - Fax:509-663-0441
Practice Address - Street 1:100 39TH ST STE 203
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-2455
Practice Address - Country:US
Practice Address - Phone:503-593-2432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5255101YP2500X
OR19-R-01101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8931295OtherWA STATE CRIME VICTIMS
WA2680SHOtherASURIS NORTHWEST HEALTH
WA1126911OtherDSHS
OR1538120811Medicaid