Healthcare Provider Details

I. General information

NPI: 1306498670
Provider Name (Legal Business Name): ELISE SMITHMIER LCPC, LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE # 8554
SPOKANE WA
99201-0580
US

IV. Provider business mailing address

522 W RIVERSIDE AVE # 8554
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 509-255-3086
  • Fax: 509-255-7787
Mailing address:
  • Phone: 509-255-3086
  • Fax: 509-255-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number03121
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number61342030
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8211
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: