Jessica R Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006317 Issued in GA

Practice address

621 North Ave NE
Building E, Suite 100
Atlanta, GA 30308-2857

Phone

(678) 458-4070

NPI assigned

Dec 16, 2013

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": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1285055301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NORTH AVE NE",
            "address_2": "BUILDING E, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082857",
            "telephone_number": "678-458-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NORTH AVE NE",
            "address_2": "BUILDING E, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082857",
            "telephone_number": "678-458-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kelsey Smith, MS, RDN, LD
• Jennifer Lee Smith
• Jennifer Leigh Smith, PSY.D.
• Jessica Smith, LCSW
• Jessica Lee Smith, PA
• Jill Heinzmann Smith, PT
• Jimson Okon Smith, M.D.
• John Bradford Smith
• John Horatio Smith II, M.D.
• Jonathan Smith Jr., PA-C

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.