Jessica Jo Smith, LIMHP, CMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3312 Issued in NE

Practice address

12127 Pacific St
Omaha, NE 68154-3527

Phone

(308) 210-8487

NPI assigned

Feb 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Jo Frenzen Former name

Electronic endpoints 1

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1659838886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543527",
            "telephone_number": "308-210-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "JO",
        "credential": "LIMHP, CMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11613",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsmith@clearwatercounselingne.org",
            "affiliation": "N",
            "address_1": "7701 Pacific St Ste 100A",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681145466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FRENZEN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine D Smith
• Jayvontez Smith
• Jennifer Smith
• Jennifer A. Smith, M.D.
• Jennifer L. Smith
• Jill K Smith
• Jodeci J Smith, CNA
• Jodi K Smith, CCC-SLP
• John L Smith, MD
• Joseph Derrelle Smith

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.