Jenny M Smith, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

19211 Panama City Beach Pkwy Ste 1002
Panama City Beach, FL 32413-8712

Phone

(850) 312-3577

NPI assigned

Apr 28, 2008

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

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1790950962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 PANAMA CITY BEACH PKWY STE 1002",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324138712",
            "telephone_number": "850-312-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19211 PANAMA CITY BEACH PKWY STE 1002",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324138712",
            "telephone_number": "850-312-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Gayle Simpkins, APRN
• Laurence Sitchon, DDS
• Hollen Ayers Slaughter
• Amy Elizabeth Smith, ARNP
• Caylee Smith
• Kathlena M Smith
• Melinda Fox Smith, MCAP, MAC
• Pamela J. Smith, M.S., SLP
• Amanda Smitherman, CRNP
• Tephanie D Soderstrom, PA

• Counselor in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.