Jane Danette Smith

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

15 Mulberry Street
Phoenix House
Springfield, MA 01105

Phone

(413) 739-1087

NPI assigned

Dec 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jane Danette Pertillar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1124483771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HARTLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121131",
            "telephone_number": "860-670-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MULBERRY STREET",
            "address_2": "PHOENIX HOUSE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01105",
            "telephone_number": "413-739-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANE",
        "middle_name": "DANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "PERTILLAR",
            "middle_name": "DANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerri Lynn Smith, NP
• Harley Smith
• Heather Ann Smith, RPH
• Isabel Constance Smith, DO
• Jacob M Smith
• Jennifer White Smith, PA-C
• Jewel Smith
• Jocelyn Anne Smith, PTA
• Joyce Smith, LICSW
• Karen Ann Smith, DNP, FNP-BC

• Counselor in Springfield, MA
• Providers in Springfield, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.