Keshira De Jonae Smith, APCC 18691

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18691 Issued in CA

Practice address

6098 N Carica Ave
Fresno, CA 93722-3329

Phone

(559) 360-5632

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

No

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1972209310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 N CARICA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 N CARICA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223329",
            "telephone_number": "559-360-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KESHIRA",
        "middle_name": "DE JONAE",
        "credential": "APCC 18691",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "18691",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Rachel Smith, RN
• Julian Shane Smith, M.D.
• Juliana Janae Smith
• Justin Smith, OD
• Katherine T Smith, CDE/NP
• Lacey Angelina Smith, CCC-SLP
• Macy Smith
• Malik Smith
• Margaret Smith
• Mark Smith, AUD

• Professional Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.