Jane Smith, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2014027206 Issued in MO

Practice address

1000 Executive Parkway Dr
Suite 120
Saint Louis, MO 63141-6325

Phone

(314) 737-0020

NPI assigned

Nov 9, 2015

Last updated

Nov 9, 2015By the provider in NPPES

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Change STL LLCGroup PAC ID 4486004603, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2356/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Change STL LLC

  • Professional Counselor
  • Creve Coeur, MO
  • NPI 1649055526
  Medicare reassignment Care Compare group NPD
• Family Collaborations LLC

  • Adult Mental Health Clinic/Center
  • Saint Louis, MO
  • NPI 1316601339
  NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1306219563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FORSYTHIA LN",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416325",
            "telephone_number": "314-737-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2014027206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Smith, ANP
• Hollis Smith, PA-C
• Jacklin Smith
• James L Smith, MD
• Jana Smith
• Jannie Margartta Smith
• Jennifer Helene Smith, MD
• Joan Renaud Smith, MSN, RNC, NNP
• Jodi Marie Smith, D.O.
• Joe Dolan Smith III

• Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.