COLLIN SMITH – Counselor, NPI 1992359251
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,405 CLINICAL SOCIAL WORKER in OR
Provider Addresses for COLLIN SMITH
PO BOX 176
WHEELER, OR 971470176
Phone:
Type: Mailing
230 ROWE RD
WHEELER, OR 971470035
Phone: (800) 638-5182
Type: Location
237, 26th Street, 25th Street, Ogden, Weber County, Utah, 84401, United States
OGDEN, UT 844013105
Phone:
Type: Mailing
2111 EXCHANGE ST
ASTORIA, OR 971033329
Phone: (503) 325-4321
Type: Mailing
1639 SE ENSIGN LN STE B103
WARRENTON, OR 971467308
Phone: (503) 338-4500
Fax: (503) 338-4501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191030002847 | I | Clinical Social Worker | UT | TBD |
| I20211216001564 | I | Clinical Social Worker | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97147)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Orthopedic Surgery | IA | |
| Pulmonary Disease | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Emergency Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Diagnostic Radiology | ME | |
| - | CO |
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