Individual provider Active NPI

Jimmarie Smiley, MA, LPC

  • Professional Counselor
  • Olathe, KS
National Provider Identifier
1821519232
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3190 Issued in KS
Practice address
1707 E Cedar St Ste 106
Olathe, KS 66062-1886
Phone
(913) 214-2022
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2018009415 MO
Professional Counselor 101YP2500X 3190 KS Primary

Addresses

Primary practice location

1707 E Cedar St Ste 106
Olathe, KS 66062-1886

Mailing address

1707 E Cedar St Ste 106
Olathe, KS 66062-1886
Phone (913) 214-2022

Other practice location 1

12351 W 96th Ter Ste 105
Lenexa, KS 66215-4410
Phone (913) 257-3161

Other identifiers 1

IdentifierTypeStateIssuer
B201197870MedicaidKS

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3190KSMDProfessional Counselor
2018009415MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embark Counseling Services, LLC Professional PastSince Sep 22, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1821519232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E CEDAR ST STE 106",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621886",
            "telephone_number": "913-214-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E CEDAR ST STE 106",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621886",
            "telephone_number": "913-214-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12351 W 96th Ter Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154410",
            "country_code": "US",
            "telephone_number": "913-257-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "JIMMARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018009415",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B201197870",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.