OrganizationActive
Functional Mental Health LLC
NPI 1154944536 · Psychiatric/Mental Health Nurse Practitioner · Winston, OR
Provider details
- NPI number
- 1154944536
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mckenzie Smith, Pmhnp(541) 326-8078
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 Sw Brantley Dr
Winston, OR 97496-4526
Phone: (541) 679-0366
Fax: (541) 679-4821
Street-level locationGet directions
Mailing address
11 Sw Brantley Dr
Winston, OR 97496-4526
Other names (DBA / former)
- Doing business as
- Functional Mental Health LLC
- Doing business as
- Functional Mental Health LLC
Registry dates
- Enumerated
- 2020-05-20
- Last updated
- 2021-01-27
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.