Individual provider

Amy Smith, CADC, CRM, QMHA

Addiction (Substance Use Disorder) Counselor Mental Health Counselor Peer Specialist

Amy Smith, CADC, CRM, QMHA is an Addiction (Substance Use Disorder) Counselor in Portland, OR, registered under NPI 1114479599. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 17645 NW SAINT HELENS RD, Portland, OR 97231. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

17645 NW SAINT HELENS RD, Portland, OR 97231 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
21-01-10037 OR Addiction (Substance Use Disorder)… primary
23-QMHA-R-4488 OR Mental Health Counselor
23-CRM-1940 OR Peer Specialist

This provider holds licence 21-01-10037 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 21-01-10037 OR primary
101YM0800X Mental Health Counselor Mental Health 23-QMHA-R-4488 OR
175T00000X Peer Specialist 23-CRM-1940 OR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114479599 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 1, 2016
Last updatedApr 28, 2026
StatusActive
Sole proprietorNo
CredentialCADC, CRM, QMHA
Practice address 17645 NW SAINT HELENS RD
Portland, OR 97231
(503) 621-1069
Fax (503) 621-0200
Mailing address 211 SE CARUTHERS ST
Portland, OR 97214
Other identifiers 16-07-17 · MHACBO CADC-I (OR)
23-CRM-1940 · MHACBO CRM (OR)
500717291 (OR)
21-01-10037 · MHACBO CADC-II (OR)
This record was updated on Apr 28, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1114479599 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 4 7 9 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 8 7 9 5 9

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114479599?
NPI 1114479599 is the National Provider Identifier assigned to Amy Smith, CADC, CRM, QMHA in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Amy Smith, CADC, CRM, QMHA?
The phone number on file with NPPES is (503) 621-1069, last updated Apr 28, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1114479599 a valid number?
Yes. 1114479599 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.