Jennifer Marie Smith, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

9419 Issued in MA

Practice address

190 Main St Ste 306
Brattleboro, VT 05301-2837

Phone

(802) 755-5441

Fax

(617) 668-1401

NPI assigned

Oct 12, 2011

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

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Jennifer Smith PHD LLC

  • Clinical Psychologist
  • Brattleboro, VT
  • NPI 1285123893
  NPD Authorized official

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1861777609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WHITTIER PL STE 108",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141408",
            "telephone_number": "802-755-5441",
            "fax_number": "617-651-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST STE 306",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012837",
            "telephone_number": "802-755-5441",
            "fax_number": "617-668-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Whittier Pl Ste 108",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021141408",
            "country_code": "US",
            "telephone_number": "802-755-5441",
            "fax_number": "617-668-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VT",
            "license": "048.0134932",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "9419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Shwartz, ND, MSA
• Janet Sinclair, LIC. AC.
• Heather Sluter
• Heather Leigh Smith, LCMHC
• Houghton Paul Smith, RN CDE
• Karin Smith, BS
• Nancy A Smith, RNBSN
• Christopher Snow, PA
• Jilisa Snyder
• Randall G Snyder

• Counseling Psychologist in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Counseling Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.