JEREMIAH T SMITH LPCC-S
NPI 1063046043
Counselor - Professional in Cleveland, OH

Active since February 27, 2020PECOS EnrolledAccepts Medicare Assignment
4269 PEARL RD FL 3, CLEVELAND, OH 44109(216) 431-4131 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 20, 2026, Sep 23, 2024, Nov 30, 2022 and 2 more (5 updates tracked since 2020).

About Jeremiah T Smith Lpcc-s NPPES

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

JEREMIAH T SMITH LPCC-S (NPI 1063046043) is an individual professional provider in Cleveland, Ohio, licensed in Ohio (E.2303580-SUPV) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfield, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063046043
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMIAH T SMITHCredential: LPCC-S
Location Address4269 PEARL RD FL 3Cleveland, OH 44109-4234
Mailing Address4269 Pearl Rd Fl 3Cleveland, OH 44109-4234 · (216) 431-4131
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 27, 2020
Last NPPES UpdateMarch 20, 20265 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1063046043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2303580-SUPV
4269 PEARL RD FL 3, Cleveland, OH 44109

Secondary Practice Location 1

Location 11251 Nilles Rd Ste 5Fairfield, OH 45014-7205 · Phone (513) 939-0300

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremiah T Smith Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658715255
PECOS Enrollment IDI20240222002428
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jeremiah Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 713 clinicians in this Medicare group
Counselor
1251 NILLES RD STE 5
Fairfield, OH 45014
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio and Pennsylvania enrollments
  • 725 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
4269 PEARL RD FL 3
CLEVELAND, OH 44109
Case Manager/Care Coordinator
4269 PEARL RD FL 3
CLEVELAND, OH 44109
Case Manager/Care Coordinator
4269 PEARL RD FL 3
CLEVELAND, OH 44109
Case Manager/Care Coordinator
4269 PEARL RD FL 3
CLEVELAND, OH 44109

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 Jeremiah Smith's NPI number?

The NPI number for Jeremiah Smith is 1063046043. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Jeremiah Smith located?

Jeremiah Smith practices at 4269 Pearl Rd Fl 3, Cleveland, OH 44109. The listed phone number is (216) 431-4131.

What is Jeremiah Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jeremiah Smith enrolled in Medicare?

Yes. Jeremiah Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremiah Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Smith reassigns Medicare benefits to 4 organizations: The Metrohealth System (Cleveland, OH), Psychological & Behavioral Consultants, LLC (Beachwood, OH), Mindfully, LLC (Fairfield, OH) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremiah Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremiah Smith accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield and MedMutual list Jeremiah Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremiah Smith was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.