Jason Michael Smith, LMFT-ASSOCIATE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204963 Issued in TX

Practice address

3700 River Walk Dr Ste 275
Flower Mound, TX 75028-1860

Phone

(972) 841-1731

NPI assigned

Oct 4, 2023

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stanford Couples Counseling, PLLC

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1619342672
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1851171037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 RED RIVER TRL APT 1102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750636384",
            "telephone_number": "817-360-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RIVER WALK DR STE 275",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281860",
            "telephone_number": "972-841-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "LMFT-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles Family Dental P.C.
• Abbie Smith, MA, LPC-S
• Antoinette Hayden Smith, CCE, CPE
• Christie Camille Smith, RPH
• Donna Kay Smith, PHARMACIST
• Joseph Matthew Smith
• Kelvin Smith
• Krista Kay Smith
• Lee Anne C. Smith, MA, LPC
• Scott Allen Smith, MA, LPC, CH

• Marriage & Family Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.