Jennifer Denine Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S-8727 Issued in NC

Practice address

523 N US Highway 1 Ste C
Rockingham, NC 28379-7771

Phone

(910) 895-2462

Fax

(910) 895-9896

NPI assigned

Jan 26, 2016

Last updated

Feb 9, 2023By the provider in NPPES

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

Enrolled in NC

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1700318680
  Medicare reassignment NPD
• Trinity Professional Counseling Services

  • Mental Health Counselor
  • Wadesboro, NC
  • NPI 1093172694
  NPD (past) Authorized official
• Daymark Recovery Services Inc

  • Community/Behavioral Health Agency
  • Rockingham, NC
  • NPI 1083209381
  NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1164151080
  NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1730548413
  NPD

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1992162556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N US HIGHWAY 1 STE C",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283797771",
            "telephone_number": "910-895-2462",
            "fax_number": "910-895-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "DENINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S-8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Thomas Simmons, PMHNP-BC, RN
• Arlester Simpson Jr.
• Paul Gulsharan Singh, MD
• Smith Optometric PLLC
• Elven Conrad Smith III, O.D.
• Khymaya Tionne Smith, RBT
• Molly Peyton Smith, MSW, LCSWA
• Southeastern Health Care Services, LLC
• Southeastern United Care, LLC
• Southern Health Care, Inc. (The Hermitage Retirement Center)

• Professional Counselor in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.