Jeremy Kyle Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7220 W Jefferson Ave Ste 404
Lakewood, CO 80235-2016

Phone

(720) 678-9400

NPI assigned

Jul 29, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kikta Behavioral Health LLC

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1194311951
  NPD
• Kikta Behavioral Health LLC

  • Mental Health Counselor
  • Buena Vista, CO
  • NPI 1548003130
  NPD

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1043946130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE STE 404",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352016",
            "telephone_number": "720-678-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE STE 404",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352016",
            "telephone_number": "720-678-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicity C Smith
• Halley Noell Smith
• Isable Marie Smith
• Jacquelyn Rae Smith, D.O.
• Jenna Smith, RN
• Jessie Smith, RN
• Joey Smith, LPC
• Julie Hanna Smith, LMFT
• Julie Page-Kent Smith, RD
• Katherine Smith

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.