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MR. GERALD LAWRENCE SMITH JR. LPC
NPI 1043008048
Counselor - Mental Health in Broadview, IL

Active since April 29, 2025
1522 BATAAN DR APT 2W, BROADVIEW, IL 60155(773) 807-5783 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gerald Lawrence Smith Jr. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GERALD LAWRENCE SMITH JR. LPC (NPI 1043008048) is an individual mental health provider in Broadview, Illinois, licensed in Illinois (178021314) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1043008048
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GERALD LAWRENCE SMITH JR.Credential: LPC
Location Address1522 BATAAN DR APT 2WBroadview, IL 60155-3194
Mailing Address1522 Bataan Dr Apt 2wBroadview, IL 60155-3194 · (773) 807-5783
Phone(773) 807-5783
Sole ProprietorNo
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1043008048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178021314
1522 BATAAN DR APT 2W, Broadview, IL 60155
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Smith's NPI number?

The NPI number for Gerald Smith is 1043008048. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Gerald Smith located?

Gerald Smith practices at 1522 Bataan Dr Apt 2W, Broadview, IL 60155. The listed phone number is (773) 807-5783.

What is Gerald Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gerald Smith was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.