Jakob E. Smidt, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089816 Issued in NY

Practice address

375 Linwood Ave
Buffalo, NY 14209-1663

Phone

(716) 222-1958

NPI assigned

Mar 8, 2007

Sex

Male

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1861523391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091663",
            "telephone_number": "716-222-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091663",
            "telephone_number": "716-222-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Niagara St.",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14201",
            "country_code": "US",
            "telephone_number": "716-856-2587 x175",
            "fax_number": "716-586-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIDT",
        "first_name": "JAKOB",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "089816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaquita Small
• Lorraine Smalls-Marshall
• Tiffany Smart, MHC
• Jackquelyn L Smeal, LMSW
• Andrew Smeltzer, LMT
• Elizabeth Irena Smiehorowski
• Tracy Smith-Bivins
• Allisa J Smith
• Allison Smith, PHARMD
• Amanda Lynne Smith

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.