Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lilyan Charlotte Russel Smith-Moore, MED

Individual provider Mental Health Counselor · NPI 1205378858

Lilyan Charlotte Russel Smith-Moore, MED is a Mental Health Counselor in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with Spectrum Counseling and Mental Wellness, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2016
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

101 SW Madison St Unit 9152
Portland, OR 97204-3264
Phone: (971) 373-4497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4531 Se Belmont St Ste 203, Portland, OR 97215-1675 — (971) 373-4497

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C4955 (OR)

Record details

NPI number1205378858
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorYes
NPI enumeratedNovember 14, 2016
Last updated in NPPESMarch 11, 2021
Certification dateFebruary 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Spectrum Counseling And Mental Wellness — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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