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Mackenzie Anne Smith

Speech-Language Pathologist β€’ Mcminnville, OR

Active NPI 1629548714 Individual Practitioner Female Practitioner
Practice location in NPPES

220 Ne Norton Ln
Mcminnville, OR 971288470

Call 5038838250 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

220 Ne Norton Ln

Mcminnville, OR 971288470

Telephone 5038838250
Fax 8888354257

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mackenzie Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Mcminnville and Oregon

12 active clinicians are listed under Speech-Language Pathologist with a practice address in Mcminnville, OR (2,091 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mcminnville

0% of these 12 clinicians have the CMS telehealth indicator.

8.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 17517

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20221118000524

Enrollment State Jurisdiction

OR

PECOS Control ID

3779951934

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location May 15, 2024

Registered at 220 NE NORTON LN, MCMINNVILLE, OR 971288470 (Tel: 5038838250)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2024

Behavior Technician

πŸ“
Updated Practice Location June 15, 2022

Registered at 1765 N ELSTON AVE, CHICAGO, IL 606421501 (Tel: 3123990370)

πŸ“
Updated Business Mailing Address June 15, 2022

Registered at 2053 N SHEFFIELD AVE APT 4F, CHICAGO, IL 606147424 (Tel: 8152451435)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2022

Speech-Language Pathologist (license number reported to NPPES: IL 242006277)

βœ…
NPI Profile Active November 30, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 30, 2018

Registered at 603 E DIEHL RD STE 123, NAPERVILLE, IL 605634908 (Tel: 3318260226)

πŸ“
Business Mailing Address (Initial Record) November 30, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

πŸ‘€
Provider Name / Credentials (Initial Record) November 30, 2018

Recorded as MACKENZIE SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration November 30, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629548714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2018
Last Update: May 15, 2024
Sole Proprietor: No

Mailing Address

2053 N Sheffield Ave Apt 4f

Chicago, IL 606147424

Phone: 8152451435

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.