Jana Smith, LMHC
Individual provider Active NPI Mental Health Counselor · Hammond, IN
NPI 1306247572 · NPPES record last updated Sep 8, 2014
Key facts
- NPI
- 1306247572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39002587A (IN)
- Practice address
- 6919 Indianapolis Blvd
Hammond, IN 46324-2205 - Phone
- (219) 844-4883
- Fax
- (219) 844-4885
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002587A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Diocese of Gary Inc | Mental Health | Past | Accepting new patients |
| Catholic Charities Diocese of Gary Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002587A | IN | Yes |
Addresses
Primary practice location
6919 Indianapolis Blvd
Hammond, IN 46324-2205
Mailing address
6919 Indianapolis Blvd
Hammond, IN 46324-2205
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200980410 | Medicaid | IN |
Other providers in Hammond, IN
- Sleep Wake Center
- SMH Electrocardiographers
- Amanda Smith
- Danielle Devon Smith
- Eboni Lasha Smith
- Sohl Ave RCF LP
- Soniade Cares, Inc
- Southeastern Medical Center S.C.
- Southlake Community Mental Health Center Inc.
- Southlake Community Mental Health Center, Inc
All providers in Hammond, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.