Individual provider Active NPI

Jeanne Ann Collin-Smith, L.P.C.C.

  • School Psychologist
  • Albuquerque, NM
National Provider Identifier
1982802518
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
241066 Issued in NM
Practice address
2403 San Mateo Blvd NE
Suite W-10
Albuquerque, NM 87110-4058
Phone
(505) 830-6500
Fax
(505) 830-6527
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1260 NM
School Psychologist 103TS0200X 241066 NM Primary
Marriage & Family Therapist 106H00000X 16446 CA

Addresses

Primary practice location

2403 San Mateo Blvd NE
Suite W-10
Albuquerque, NM 87110-4058

Mailing address

5340 Veronica Dr NE
Albuquerque, NM 87111-1950
Phone (505) 855-9916

Other names 1

  • Jeanne Ann Lyons Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
241066NMMDSchool Psychologist
1260NMMDChiropractor
16446CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982802518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 VERONICA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111950",
            "telephone_number": "505-855-9916",
            "fax_number": "505-294-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "SUITE W-10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-830-6500",
            "fax_number": "505-830-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIN-SMITH",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "credential": "L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "1260",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "241066",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "16446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "SMITH",
            "middle_name": "ANN LYONS",
            "credential": "MFT, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.