Jeanne Catherine Kenning Smith, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302231 Issued in MN

Practice address

15 Edgewater Dr
Little Falls, MN 56345-3430

Phone

(507) 230-1717

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

Yes

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1477993848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EDGEWATER DR",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453430",
            "telephone_number": "507-230-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EDGEWATER DR",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453430",
            "telephone_number": "507-230-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNING SMITH",
        "first_name": "JEANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jane Jude, DDS
• Tina Kalis
• Kathleen Anderson Ms LMFT LLC
• Julia Keehr-Oleson
• Mallory C. Kenna
• Thomas Edward Klecker, LICSW LP
• Rachel Mary Kleinschmidt, PA-C
• Mary Therese Klinker, M.D.
• James Paul Kofoed, DC
• Derek Koll

• Addiction (Substance Use Disorder) Counselor in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.