Individual provider Active NPI

Jolanda L Smith

  • Professional Counselor
  • Alexandria, LA
National Provider Identifier
1750806253
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3921 Independence Dr Ste 104
Alexandria, LA 71303
Phone
(318) 542-4288
Fax
(318) 704-6201
NPI assigned
Aug 7, 2017
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

3921 Independence Dr Ste 104
Alexandria, LA 71303

Mailing address

3921 Independence Dr Ste 104
Alexandria, LA 71303-3566
Phone (318) 542-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240212001336 LA Practitioner - Mental Health Counselor 7517300023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7798LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Behavioral Health, LLC CurrentSince Jan 31, 2024 Accepting new patients
Carl Phillips NP Services PastSince May 25, 2021 Accepting new patients

Locations

109 Yorktown Dr
Ste A
Alexandria, LA 71303
Phone (318) 880-8711

3921 Independence Dr
Ste 104
Alexandria, LA 71303
Phone (318) 880-8711

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1750806253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 INDEPENDENCE DR STE 104",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033566",
            "telephone_number": "318-542-4288",
            "fax_number": "318-704-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 INDEPENDENCE DR STE 104",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-542-4288",
            "fax_number": "318-704-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOLANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.