Individual provider Active NPI

Jennifer Smith, LMFT

  • Marriage & Family Therapist
  • Post Falls, ID
National Provider Identifier
1013239268
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-4980 Issued in ID
Practice address
601 E Seltice Way Ste 203
Post Falls, ID 83854-7638
Phone
(208) 717-1798
Fax
(208) 625-2077
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-4980 ID Primary

Addresses

Primary practice location

601 E Seltice Way Ste 203
Post Falls, ID 83854-7638

Mailing address

601 E Seltice Way Ste 203
Post Falls, ID 83854-7638
Phone (208) 717-1798

Other names 1

  • Jennifer Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240106000132 ID Practitioner - Marriage and Family Therapist 1850742529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 E Seltice Way
Suite 203
Post Falls, ID 83854-7638
Phone (208) 717-1798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Living Stones Counseling LLC Marriage & Family Therapist CurrentSince Dec 21, 2023 Accepting new patients
Idaho Dept of Health & Welfare Reg 1 Ahm PSR Sandpoint Past Accepting new patients
Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint Past Accepting new patients

Locations

601 E Seltice Way
Ste 203
Post Falls, ID 83854
Phone (208) 717-1798

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1013239268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SELTICE WAY STE 203",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547638",
            "telephone_number": "208-717-1798",
            "fax_number": "208-625-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SELTICE WAY STE 203",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547638",
            "telephone_number": "208-717-1798",
            "fax_number": "208-625-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-4980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "credential": "LAMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.