Jennifer Lynn Smith, MS, LPC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2501 SW E Ave
Lawton, OK 73505-7320

Phone

(580) 248-6450

NPI assigned

Dec 13, 2024

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

Credentials

Master of Science

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.

• Marie Detty Youth & Family Services Center, Inc.

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1679694632
  NPD (past)

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1316754393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 SE ABERDEEN AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016602",
            "telephone_number": "716-465-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SW E AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057320",
            "telephone_number": "580-248-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale B Smith, DO
• Daniel Earl Smith
• Deidre Smith
• Douglas Martin Smith, D.C.
• Jaymi Smith, APRN-CNP
• Kaitlyn Smith, DC
• Katelyn Smith
• Kelsi D Smith
• Kheela Amoy Smith
• Kirk M. Smith, M.D.

• Professional Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.