Jennifer Lynn Smalley, LMFT
Individual provider Active NPI Marriage & Family Therapist · Andover, KS
NPI 1275950966 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1275950966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2416 (KS)
- Practice address
- 217 W Ira CT
Andover, KS 67002-9469 - Phone
- (316) 733-5047
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Kansas Counseling LLC
Practice addresses (Care Compare)
114 Commerce Dr
Hesston, KS 67062-8938
Phone (620) 869-9986
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219001254 | KS | Practitioner - Marriage and Family Therapist | 0042660979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2416 | KS | MD | Marriage & Family Therapist |
| 2803 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Kansas Counseling LLC | Marriage & Family Therapist | Current |
Accepting new patients |
| South Central Mental Health Counseling Center, Inc. | Marriage & Family Therapist | Past |
Accepting new patients |
Locations
114 Commerce Dr
Hesston, KS 67062
Phone (620) 869-9986
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2416 | KS | Yes |
Addresses
Primary practice location
217 W Ira CT
Andover, KS 67002-9469
Mailing address
217 W Ira CT
Andover, KS 67002-9469
Phone (316) 733-5047
Other providers in Andover, KS
- Martin E Sellberg
- Shamsa Chiropractic, P.a.
- Side by Side Kansas LLC
- Janel D Slaughter
- Andrew Leddy Small
- Michael Smalley
- Christiane Smith
- Tamara Kristin Smith
- Solution Focused Therapeutic Alliance LLC
- Sparks Eye Care LLC
All providers in Andover, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.