Jessica Sue-Ellen Smith, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0041333 Issued in OH

Practice address

2555 S Dixie Dr Ste 108
Kettering, OH 45409-1532

Phone

(937) 206-2472

Fax

(937) 871-4586

NPI assigned

Jan 30, 2026

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

Practice roles

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

• Smith Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Kettering, OH
  • NPI 1558277632
  NPD (past) Authorized official

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1306796206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 AUTUMN CT",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453157746",
            "telephone_number": "937-206-2472",
            "fax_number": "937-871-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 108",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091532",
            "telephone_number": "937-206-2472",
            "fax_number": "937-871-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "SUE-ELLEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0041333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Smith
• Brooke Doxey Smith, MD
• Cheryl Smith, RN
• Christina L. Smith, MD
• Deborah A Smith, CRNA
• Robert E Smith, M.D.
• Michele Smock, L.P.N.
• Brad Snider, MD
• Rachel W Snyder, CNP
• Soar Therapeutics LLC

• Psychiatric/Mental Health Nurse Practitioner in Kettering, OH
• Providers in Kettering, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.