Individual provider Active NPI

Jennifer B Smirnoff, PHD, LPCC-S

  • Professional Counselor
  • Maumee, OH
National Provider Identifier
1538387451
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0004163 Issued in OH
Practice address
1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone
(419) 509-8670
NPI assigned
Apr 23, 2007
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E 0004163 OH Primary

Addresses

Primary practice location

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055

Mailing address

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (419) 509-8670

Other practice location 1

4841 Monroe St Ste 301
Toledo, OH 43623-5320
Phone (419) 475-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228001784 OH Practitioner - Mental Health Counselor 4587948005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Resources of Toledo, LTDGroup PAC ID 5092148148, 2 clinicians

Practice addresses (Care Compare)

4841 Monroe St
Suite 301
Toledo, OH 43623-5320
Phone (419) 475-2535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E 0004163OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Resources of Toledo, LTD CurrentSince Feb 6, 2024 Accepting new patients
Psychological Resources LTD PastSince Feb 6, 2024 Accepting new patients

Locations

4841 Monroe St
Ste 301
Toledo, OH 43623
Phone (419) 210-3710

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1538387451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIR",
            "address_2": "SUITE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374055",
            "telephone_number": "419-509-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIR",
            "address_2": "SUITE 200",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374055",
            "telephone_number": "419-509-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4841 Monroe St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436235320",
            "country_code": "US",
            "telephone_number": "419-475-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIRNOFF",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0004163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.