Active NPI
Jasmin Smith
- Professional Counselor
- Yukon, OK
National Provider Identifier
1467716753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7430
- Practice address
- 14604 Claxton Place
Yukon, OK 73099 - Phone
- (405) 887-9267
- Fax
- (405) 225-1408
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 7430 | OK | Primary |
Addresses
Primary practice location
14604 Claxton Place
Yukon, OK 73099
Mailing address
14604 Claxton Place
Yukon, OK 73099
Phone (405) 887-9267
Other practice location 1
5300 N Meridian Ave Ste 11B
Oklahoma City, OK 73112-2179
Phone (405) 887-9267
Other names 1
- Jasmin Smith
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7430 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Minds Counseling LLC | Professional | Current | Accepting new patients |
Locations
5300 N Meridian Ave
Ste 11
Oklahoma City, OK 73112
Phone (405) 887-9267
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.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1730798117
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1467716753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14604 CLAXTON PLACE",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-887-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14604 CLAXTON PLACE",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-887-9267",
"fax_number": "405-225-1408"
}
],
"practiceLocations": [
{
"address_1": "5300 N Meridian Ave Ste 11B",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731122179",
"country_code": "US",
"telephone_number": "405-887-9267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JASMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2024-02-06",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "7430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMIN",
"last_name": "SMITH",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.