Jennifer Smith, BA PSYCH

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

Rear 307 Laird Street
Choices Program of Wyoming Valley
Wilkes Barre, PA 18702

Phone

(570) 408-9320

Fax

(570) 408-9324

NPI assigned

Oct 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1790095545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REAR 307 LAIRD STREET",
            "address_2": "CHOICES PROGRAM OF WYOMING VALLEY",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-408-9320",
            "fax_number": "570-408-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REAR 307 LAIRD STREET",
            "address_2": "CHOICES PROGRAM OF WYOMING VALLEY",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-408-9320",
            "fax_number": "570-408-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "BA PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Smicherko
• Abigail Alexa Smith
• Brent Tyler Smith, NP
• Brianna Smith, LCSW
• Cameron Tyler Smith, DO
• Kendal Smith
• Laura C. Smith, CRNP
• Scott M Smith, L.S.W.
• Gary Ralph Snedeker, RPH
• Felicia Kay Snyder, PHARMD

• Addiction (Substance Use Disorder) Counselor in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.