Jacqueline Rene Smith, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.0006729 Issued in OH

Practice address

230 Northland Blvd
Suite 120B
Cincinnati, OH 45246-3675

Phone

(513) 703-4975

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1831521442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTHLAND BLVD",
            "address_2": "SUITE 120B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463675",
            "telephone_number": "513-703-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NORTHLAND BLVD",
            "address_2": "SUITE 120B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463675",
            "telephone_number": "513-703-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "RENE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-0568",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0006729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Francesca Smith
• Heather Smith, PSY.D
• Heather Lynn Smith
• Hubbell J Smith, DDS
• Jacklyn Dianna Smith, MD
• Jah'Son Amiyre Smith
• Jake Smith
• Jamal A Smith
• James Smith
• Jane Parker Smith, RN, CNP

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.