Individual provider Active NPI

Jacqueline Suzanne Smith, MA LAPC

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1124829494
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC001070 Issued in PA
Practice address
1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106
Phone
(717) 936-9758
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC001070 PA
Mental Health Counselor 101YM0800X APC001070 PA
Professional Counselor 101YP2500X APC001070 PA Primary

Addresses

Primary practice location

1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106

Mailing address

1891 Santa Barbara Dr Ste 102
Lancaster, PA 17601-4106
Phone (717) 936-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APC001070PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Krem Capital, Inc Professional CurrentSince Mar 24, 2025 Accepting new patients

Locations

1891 Santa Barbara Dr
Ste 102
Lancaster, PA 17601
Phone (717) 553-1192

Organizations & group practices 1

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1124829494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 SANTA BARBARA DR STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014106",
            "telephone_number": "717-936-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 SANTA BARBARA DR STE 102",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014106",
            "telephone_number": "717-936-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MA LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "APC001070",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC001070",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC001070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.