MS. JACQUELINE ELYSE SMITH MA, LMHC
NPI 1174937965
Counselor - Mental Health in Seattle, WA

Active since June 19, 2014Opted out of Medicare · through Jan 7, 2027
6869 WOODLAWN AVE NE, SUITE 114, SEATTLE, WA 98115(206) 297-0391 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jacqueline Elyse Smith Ma, Lmhc NPPES

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

MS. JACQUELINE ELYSE SMITH MA, LMHC (NPI 1174937965) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH60408316) and active in the NPI registry since June 2014. She has opted out of Medicare through January 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174937965
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JACQUELINE ELYSE SMITHCredential: MA, LMHC
Location Address6869 WOODLAWN AVE NE, SUITE 114Seattle, WA 98115-5469
Mailing Address8351 28th Ave NwSeattle, WA 98117-4518 · (206) 297-0391
Sole ProprietorYes
Enumeration DateJune 19, 2014
NPI 1174937965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH60408316
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LH60408316 (WA)
6869 WOODLAWN AVE NE, Seattle, WA 98115

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Jacqueline Elyse Smith Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2025 through January 7, 2027.

Opt-Out Effective DateJanuary 7, 2025
Opt-Out In Effect ThroughJanuary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 16

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

Psychologist
6869 WOODLAWN AVE NE
SEATTLE, WA 98115
Social Worker (Clinical)
6869 WOODLAWN AVE NE, SUITE 114
SEATTLE, WA 98115
Counselor (Mental Health)
6869 WOODLAWN AVE NE, SUITE 114
SEATTLE, WA 98115
Acupuncturist
6869 WOODLAWN AVE NE, SUITE 208
SEATTLE, WA 98115
Marriage & Family Therapist
6869 WOODLAWN AVE NE, SUITE 110
SEATTLE, WA 98115
Naturopath
6869 WOODLAWN AVE NE, SUITE 208
SEATTLE, WA 98115
Counselor (Mental Health)
6869 WOODLAWN AVE NE, SUITE 200
SEATTLE, WA 98115
Counselor (Mental Health)
6869 WOODLAWN AVE NE, SUITE 114
SEATTLE, WA 98115

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 Jacqueline Smith's NPI number?

The NPI number for Jacqueline Smith is 1174937965. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Jacqueline Smith located?

Jacqueline Smith practices at 6869 Woodlawn Ave NE Suite 114, Seattle, WA 98115. The listed phone number is (206) 297-0391.

What is Jacqueline Smith's specialty?

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

Is Jacqueline Smith enrolled in Medicare?

No. Jacqueline Smith has opted out of Medicare through January 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jacqueline Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jacqueline 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 Jacqueline Smith was last updated on June 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.