Individual provider Active NPI

Jennifer Smith, LMFT

  • Marriage & Family Therapist
  • Clinton, IN
National Provider Identifier
1063644995
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001639 Issued in IN
Practice address
510 S Main St
Clinton, IN 47842-2416
Phone
(765) 832-2436
Fax
(765) 831-2486
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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 35001639 IN Primary

Addresses

Primary practice location

510 S Main St
Clinton, IN 47842-2416

Mailing address

PO Box 4323
Terre Haute, IN 47804-0323
Phone (812) 231-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240920001793 IL Practitioner - Marriage and Family Therapist 8729529474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35001639INMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jun 13, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jun 13, 2024 Accepting new patients
Hamilton Center, Inc. Past Accepting new patients
Hamilton Center Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hamilton Center, Inc. Past Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1063644995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323",
            "telephone_number": "812-231-8315",
            "fax_number": "812-231-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422416",
            "telephone_number": "765-832-2436",
            "fax_number": "765-831-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.