JENNIFER LYNN BLACKSMITH PH.D
NPI 1114390598
Psychologist in Kirksville, MO

Active since November 05, 2015PECOS Enrolled
402 W JEFFERSON ST, KIRKSVILLE, MO 63501(660) 627-2229 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Lynn Blacksmith Ph.d NPPES

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

JENNIFER LYNN BLACKSMITH PH.D (NPI 1114390598) is an individual psychologist in Kirksville, Missouri, licensed in Missouri (2017010148) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114390598
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER LYNN BLACKSMITHCredential: PH.D
Location Address402 W JEFFERSON STKirksville, MO 63501-3407
Mailing Address402 W Jefferson StKirksville, MO 63501-3407 · (660) 627-2229
Sole ProprietorNo
Enumeration DateNovember 5, 2015
Last NPPES UpdateMay 10, 2017
NPI 1114390598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MO · 2017010148 Licensed in IA · 073513
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

402 W JEFFERSON ST, Kirksville, MO 63501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Lynn Blacksmith Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Dentist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dental Hygienist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dentist (Dental Public Health)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Pediatrics
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Clinic/Center (Federally Qualified Health Center (FQHC))
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Clinic/Center (Federally Qualified Health Center (FQHC))
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Obstetrics & Gynecology
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Obstetrics & Gynecology
402 W JEFFERSON ST
KIRKSVILLE, MO 63501

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 Jennifer Blacksmith's NPI number?

The NPI number for Jennifer Blacksmith is 1114390598. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Jennifer Blacksmith located?

Jennifer Blacksmith practices at 402 W Jefferson St, Kirksville, MO 63501. The listed phone number is (660) 627-2229.

What is Jennifer Blacksmith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Blacksmith enrolled in Medicare?

Yes. Jennifer Blacksmith is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Blacksmith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Jennifer Blacksmith 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 Jennifer Blacksmith was last updated on May 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.