Jon C Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0012608 Issued in CO

Practice address

7200 E Dry Creek Rd
Suite E-207
Centennial, CO 80112-2537

Phone

(303) 660-5397

NPI assigned

Oct 5, 2010

Last updated

May 21, 2016By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child and Adolescent Behavioral Supports

  • Clinical Psychologist
  • Centennial, CO
  • NPI 1023446572

  Professional

  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463788800000",
    "number": "1366751596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 E DRY CREEK RD",
            "address_2": "SUITE E-207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122537",
            "telephone_number": "303-660-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E DRY CREEK RD",
            "address_2": "SUITE E-207",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122537",
            "telephone_number": "303-660-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2016-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Raeann Smith
• Felicia Marie Smith
• Heather Smith
• Henry Vern Smith, DDS
• Jenise Smith, PHARM D
• Jonathan A Smith, M.D.
• Joshua Allan Smith, LMFT
• Kathleen Smith
• Kelly Smith
• Kimberly Lynn Smith, LPC

• Professional Counselor in Centennial, CO
• Providers in Centennial, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.