Active NPI
Jerry Smith Jr.
- Mental Health Counselor
- Knoxville, TN
National Provider Identifier
1629501820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2895
- Practice address
- 2928 E Magnolia Ave
Knoxville, TN 37914-4515 - Phone
- (865) 394-9075
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2895 | TN | Primary |
Addresses
Primary practice location
2928 E Magnolia Ave
Knoxville, TN 37914-4515
Mailing address
5509 Cliffwood Rd
Knoxville, TN 37921-2410
Phone (423) 616-0213
Other practice location 1
836 W 1st North St
Morristown, TN 37814-4548
Phone (423) 616-0213
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 |
|---|---|---|---|
| 2895 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1629501820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 CLIFFWOOD RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379212410",
"telephone_number": "423-616-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2928 E MAGNOLIA AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379144515",
"telephone_number": "865-394-9075"
}
],
"practiceLocations": [
{
"address_1": "836 W 1st North St",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "TN",
"postal_code": "378144548",
"country_code": "US",
"telephone_number": "423-616-0213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JERRY",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "2895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.