Jennifer Broadway Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A10089 Issued in NC

Practice address

264 Greensboro Street Ext
Lexington, NC 27295-1969

Phone

(336) 236-7347

NPI assigned

Jun 13, 2013

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Archway Child and Family Care

  • Community/Behavioral Health Agency
  • Thomasville, NC
  • NPI 1699407338

  Mental Health

  NPD (past)
• Lorven Child and Family Development LLC

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1952557118
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1891133716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 GREENSBORO STREET EXT",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951969",
            "telephone_number": "336-236-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 GREENSBORO STREET EXT",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951969",
            "telephone_number": "336-236-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "BROADWAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "101YMO800X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Joy Smith, RN
• Amos Hedrick Smith Jr., CRNA
• Ariona Smith, OTR/L
• Elias Daniel Smith, D.C.
• Felicia Michelle Smith
• Laura Smith, LPCA
• Megan Eileen Smith, PA
• Morgan Theresa Smith, MS, SLP, TSSLD
• Sheri L Smith
• Tiffany Lorielle Smith

• Mental Health Counselor in Lexington, NC
• Providers in Lexington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.