Jennifer Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88533 Issued in CA

Practice address

4880 La Cuenta Dr
San Diego, CA 92124-3015

Phone

(619) 453-2781

NPI assigned

Feb 4, 2019

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

Other names 1

• Jennifer Luna Professional name

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1548725591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710954",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921710954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LA CUENTA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243015",
            "telephone_number": "619-453-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "88533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LUNA",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Smith II, ASW
• James Frank Smith II
• Jamie Smith, RN
• Jane E Smith, APCC
• Jeffrey Mark Smith, M.D.
• Jennifer Anne Smith
• Jennifer Carol Joliat Smith, NP
• Jennifer Christa Smith
• Jennifer Lauren Smith, MD
• Jennifer Lynn Smith, D.D.S

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.