Individual provider Active NPI

Jewell Juanita Smith

  • Professional Counselor
  • Fairfield, CA
National Provider Identifier
1407160872
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007842 Issued in CT
Practice address
2480 Hilborn Road
Suite 101
Fairfield, CA 94534-1857
Phone
(347) 835-8230
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 015087 NY
Professional Counselor 101YP2500X 007842 CT Primary

Addresses

Primary practice location

2480 Hilborn Road
Suite 101
Fairfield, CA 94534-1857

Mailing address

57 Kohanza St
Danbury, CT 06811-4406
Phone (347) 835-8230

Other practice location 1

253 Mansion St
Poughkeepsie, NY 12601-2623
Phone (845) 473-2500 ext. 3001

Other practice location 2

3 Neptune Rd Ste A19B
Poughkeepsie, NY 12601-5569
Phone (845) 462-2619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007842CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Counseling Services LCSW PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

3 Neptune Rd
Ste A19B
Poughkeepsie, NY 12601
Phone (845) 462-2619

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1407160872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 KOHANZA ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114406",
            "telephone_number": "347-835-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 HILBORN ROAD",
            "address_2": "SUITE 101",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341857",
            "telephone_number": "347-835-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Mansion St",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126012623",
            "country_code": "US",
            "telephone_number": "845-473-2500 x3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Neptune Rd Ste A19B",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126015569",
            "country_code": "US",
            "telephone_number": "845-462-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEWELL",
        "middle_name": "JUANITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015087",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "007842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.