SHELBY BRYNE MATT-SMITH LPC NPI 1053967570

NPI Information

  • NPI: 1053967570
  • Provider Name: SHELBY BRYNE MATT-SMITH, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 900 E MAIN ST
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 500-0977

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NPI Details

Shelby Bryne Matt-smith, LPC is a professional counselor in Medford, OR. Shelby Bryne Matt-smith, LPC NPI is 1053967570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 E MAIN ST
MEDFORD, OR
ZIP 97504-136
Phone: (541) 500-0977
Fax: (541) 842-7640

The NPI 1053967570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalC7737OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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