Jeremy Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

JERESMITH Issued in OH

Practice address

636 S Lexington Springmill Rd
Mansfield, OH 44906-3315

Phone

(419) 214-1260

Fax

(419) 214-1270

NPI assigned

Jun 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appleseed Community Mental Health Center IncGroup PAC ID 1557269784, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Appleseed Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, OH
  • NPI 1215961594
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1023423597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063315",
            "telephone_number": "419-214-1260",
            "fax_number": "419-214-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 S LEXINGTON SPRINGMILL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063315",
            "telephone_number": "419-214-1260",
            "fax_number": "419-214-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "JERESMITH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryana Alyse Smith, CT
• Chacha Chavonne Smith
• Deborah A Smith, LPN
• Gabrielle Smith
• James William Smith III
• Karen Morkel Smith, LISW
• Kathryn H Smith
• Kennedy Smith, CDCA
• Krista Smith, CMS
• Krista Nichole Smith

• Professional Counselor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.