Individual provider Active NPI

Jennifer Anne Smith-Anstine, LPC

  • Counselor
  • Audubon, PA
National Provider Identifier
1780302109
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1100 Adams Ave Ste 100
Audubon, PA 19403-2404
Phone
(610) 608-0267
NPI assigned
Aug 22, 2022
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Professional Counselor 101YP2500X PC018933 PA

Addresses

Primary practice location

1100 Adams Ave Ste 100
Audubon, PA 19403-2404

Mailing address

148 Concord Cir
King of Prussia, PA 19406-3061
Phone (610) 608-0267

Other practice location 1

2402 Northridge Ct
Phoenixville, PA 19460-3076
Phone (610) 608-0267

Other names 1

  • Ms. Jennifer Anne Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251028001476 PA Practitioner - Mental Health Counselor 3476042771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Adams Ave
Suite 100
Norristown, PA 19403-2404

2202 W a St
Belleville, IL 62226-6663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018933PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Lincoln Center for Family and Youth CurrentSince Oct 1, 2025 Accepting new patients
The Lincoln Center for Family and Youth PastSince Oct 1, 2025 Accepting new patients

Locations

1100 Adams Ave
Norristown, PA 19403
Phone (610) 277-3715

1100 Adams Ave
Ste 100
Norristown, PA 19403
Phone (610) 277-3715

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1780302109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CONCORD CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063061",
            "telephone_number": "610-608-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ADAMS AVE STE 100",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032404",
            "telephone_number": "610-608-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Northridge Ct",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194603076",
            "country_code": "US",
            "telephone_number": "610-608-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-ANSTINE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Audubon, PA

Sources for this page

Verify at the official NPI Registry.