KIMBERLEY LYNNE SMITH DALY BC-DMT CADC-R LPC NPI 1134407299

NPI Information

NPI: 1134407299
Provider Name: KIMBERLEY LYNNE SMITH DALY, BC-DMT, CADC-R, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
10180 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (503) 571-9240
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Kimberley Lynne Smith Daly, BC-DMT, CADC-R, LPC is a professional counselor in Clackamas, OR. Kimberley Lynne Smith Daly, BC-DMT, CADC-R, LPC NPI is 1134407299. 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:

10180 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-970
Phone: (503) 571-9240

The NPI 1134407299 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 7/22/2011 and was last updated on 3/29/2024.

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
1	225600000X	Dance Therapist		001409	NEW YORK	No
2	225600000X	Dance Therapist		BC-DMT-1131	OREGON	No
3	101YP2500X	Counselor	Professional	C5011	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C5011	OTHER	OREGON	OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS

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: 4/28/2024

NPI Synchronization or Removal

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