Jennifer Lynne Simon PHD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

JENNIFER LYNNE SIMON PHD

Doing business as

Jennifer Lynne Smith PHD

Practice address

2107 New Hampshire St
Lawrence, KS 66046-3047

Phone

(479) 206-3131

Fax

(855) 860-1954

NPI assigned

Jun 13, 2012

Last updated

Jan 7, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Lynne Smith, PH.D.NPI 1760617740

Title

Behavior Analyst-Doctoral

Phone

(479) 206-3131

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jennifer Lynne Smith PHD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lynne Smith, PH.D., B.C.B.A.-D.

  • Behavior Analyst
  • Lawrence, KS
  • NPI 1760617740
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1003178260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 NEW HAMPSHIRE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660463047",
            "telephone_number": "479-206-3131",
            "fax_number": "855-860-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 NEW HAMPSHIRE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660463047",
            "telephone_number": "479-206-3131",
            "fax_number": "855-860-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LYNNE SIMON PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST-DOCTORAL",
        "authorized_official_telephone_number": "479-206-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-06-3152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12306660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10040792A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Lynne Smith PHD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jennifer Lynne Smith PHD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle S Jehle, LMSW
• Jenkins Behavioral Consulting, LLC
• Melissa Leeann Jenkins, PH.D.
• Tara Lynn Jenkins, PHD, RPH
• Leah Jenne
• Jenny's Kids, Inc.
• Gabriel Jepson
• Lance Jepson, D.O.
• Jeremiah Johnson LCPC LLC
• Jeremy R. Robbins, DDS, PA

• Behavior Analyst in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.