Active NPI
Jodi W. Smith, MED
- Mental Health Counselor
- Gloucester, MA
National Provider Identifier
1992925002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 797
- Practice address
- 298 Washington St
Gloucester, MA 01930-4832 - Phone
- (978) 283-0296
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 797 | MA | Primary |
Addresses
Primary practice location
298 Washington St
Gloucester, MA 01930-4832
Mailing address
14 Wingaersheek Rd
Gloucester, MA 01930-1426
Phone (978) 283-9788
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 797 | MA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992925002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WINGAERSHEEK RD",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301426",
"telephone_number": "978-283-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 WASHINGTON ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019304832",
"telephone_number": "978-283-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JODI",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.