Jesse Smith

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

01173 Issued in NV

Practice address

2288 Autumn Fire CT
Las Vegas, NV 89117-8956

Phone

(702) 499-0848

NPI assigned

Jun 15, 2009

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Mental Health

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1497047203
  Medicare reassignment NPD
• Serenity Counseling LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1366961922
  NPD

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1881821049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 AUTUMN FIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178956",
            "telephone_number": "702-499-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 AUTUMN FIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178956",
            "telephone_number": "702-499-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0137",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS",
            "identifier": "01173",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA BOARD OF MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MI0137",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Antoinette Smith
• Jennifer Jo Smith
• Jeremiah Emmanuel Smith
• Jermaine Smith
• Jesse Smith
• Jessica Smith
• Jessica Anne Smith
• Jimece Smith
• Joelouis Smith
• John Smith

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.