Jesse Allen Smith, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF001294 Issued in PA

Practice address

1807 Waterloo St
Philadelphia, PA 19122-2422

Phone

(256) 393-4039

NPI assigned

Sep 21, 2021

Sex

Male

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

State licenses

Practice roles

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.

• Dr Jesse Smith Therapy LLC

  • Marriage & Family Therapist
  • Philadelphia, PA
  • NPI 1972374585
  NPD Authorized official

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1831860816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 WATERLOO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222422",
            "telephone_number": "256-393-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WATERLOO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222422",
            "telephone_number": "256-393-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Monet Smith, NONE
• Jason Robert Smith, PA-C
• Jeffrey Daniel Smith, DO
• Jennifer Smith
• Jennifer Ann Smith, CRNP
• Jesse James Smith, D.D.S.
• Jessica Lynne Smith, RN
• Jessica Renee Smith, MS, CCC-SLP
• Jimmy Smith, MD
• Joanne Smith, M.D.

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.