Individual provider Active NPI

Brenda Jeanene Smith, P.C.

  • Professional Counselor
  • Westerville, OH
National Provider Identifier
1780999466
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.0900426 Issued in OH
Practice address
975 S Sunbury Rd
Westerville, OH 43081-9345
Phone
(614) 865-0513
Fax
(614) 865-0513
NPI assigned
Aug 18, 2010
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0900426 OH Primary

Addresses

Primary practice location

975 S Sunbury Rd
Westerville, OH 43081-9345

Mailing address

975 S Sunbury Rd
Westerville, OH 43081-9345
Phone (614) 865-0513

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

LicenseStateTypeSpecialty
C.0900426OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central College Christian Counseling Professional Past Accepting new patients

Organizations & group practices 1

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1780999466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S SUNBURY RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819345",
            "telephone_number": "614-865-0513",
            "fax_number": "614-865-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S SUNBURY RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819345",
            "telephone_number": "614-865-0513",
            "fax_number": "614-865-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "JEANENE",
        "name_prefix": "Ms.",
        "credential": "P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0900426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.