Jackson Alyce Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

01143T Issued in KS

Practice address

2201 SE 25TH St
Topeka, KS 66605-1734

Phone

(785) 783-3274

NPI assigned

Feb 15, 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

State licenses

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1376308692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S PATTIE AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111719",
            "telephone_number": "316-400-6863",
            "fax_number": "620-322-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SE 25TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666051734",
            "telephone_number": "785-783-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACKSON",
        "middle_name": "ALYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "01143T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Marie Smith, LMSW
• Gerald Henry Smith
• Gordon A Smith, LMAC
• Hannah E Smith, PA-C
• Hannelore M Smith, LSCSW
• Jermaine L. Smith
• Kara Michelle Smith, NP
• Kate Frances Smith
• Kathleen E Smith
• Kevin J Smith, PTA

• Addiction (Substance Use Disorder) Counselor in Topeka, KS
• Providers in Topeka, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.