Jessica Marie Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00412000 Issued in NJ

Practice address

545 Island Rd
Ramsey, NJ 07446-2813

Phone

(845) 826-1954

NPI assigned

Jul 30, 2018

Sex

Female

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

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1205314549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MACOPIN RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074803737",
            "telephone_number": "845-826-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ISLAND RD",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462813",
            "telephone_number": "845-826-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Godwin Ave",
            "address_purpose": "LOCATION",
            "city": "Midland Park",
            "state": "NJ",
            "postal_code": "074321519",
            "country_code": "US",
            "telephone_number": "845-826-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00412000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.