Individual provider Active NPI

Joel Lynn Smith, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Heath, TX
National Provider Identifier
1790397487
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1105223 Issued in TX
Practice address
2333 Clover CT
Heath, TX 75126-1688
Phone
(214) 558-2975
NPI assigned
Aug 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X 1105223 TX Primary

Addresses

Primary practice location

2333 Clover CT
Heath, TX 75126-1688

Mailing address

534 W Commerce St Ste 1030
Dallas, TX 75208-1921
Phone (214) 558-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403004061 TX Practitioner - Nurse Practitioner 3779921135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helen'S ProjectGroup PAC ID 6608239355, 2 clinicians

Practice addresses (Care Compare)

18383 Preston Rd
Suite 404
Dallas, TX 75252-5476
Phone (830) 400-7037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1105223TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helen'S Project Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Lomah-Smith LLC Single Specialty CurrentSince Jan 17, 2025 Accepting new patients
Addiction Campuses of Texas, LLC Past Accepting new patients

Locations

1300 Park St
Ste 5
Commerce, TX 75428

18383 Preston Rd
Ste 404
Dallas, TX 75252
Phone (210) 560-7889

3939 S Polk St
Ste 300
Dallas, TX 75224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1790397487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 W COMMERCE ST STE 1030",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081921",
            "telephone_number": "214-558-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CLOVER CT",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "751261688",
            "telephone_number": "214-558-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOEL",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-23",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1105223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

Verify at the official NPI Registry.