Jennifer Lynn Smith, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1262 Cedar St
Monticello, MN 55362-8913

Phone

(763) 732-3351

NPI assigned

May 16, 2017

Sex

Female

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

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Healing Moments Counseling LLC

  • Community/Behavioral Health Agency
  • Monticello, MN
  • NPI 1043505373
  NPD

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1922535384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "763-732-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "763-732-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherburne & Northern Wright Special Education Cooperative
• Kari L.M. Silverberg, LAMFT
• Nancy Ann Simmons, OD
• Cory Simning, MD
• Tracie Sinclair, OTR/L
• Maria A Smith
• Snyders Drug
• Kristin Suzanne Soderholm, OTR
• Jodi Sorenson, LICSW
• Rachael Sorenson, OTR/L

• Marriage & Family Therapist in Monticello, MN
• Providers in Monticello, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.