MR. WENDELL E SMITH LPC
NPI 1215104740
Counselor - Professional in Jonesboro, AR

Q: What is Wendell Smith's NPI number?

The NPI number for Wendell Smith is 1215104740. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Q: What is Wendell Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wendell Smith was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since May 14, 2008PECOS Enrolled

1815 PLEASANT GROVE RD, JONESBORO, AR 72401(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2018, Feb 12, 2016 (2 updates tracked since 2016).

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About Mr. Wendell E Smith Lpc NPPES

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

MR. WENDELL E SMITH LPC (NPI 1215104740) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P1201004) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215104740

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. WENDELL E SMITHCredential: LPC

Location Address1815 PLEASANT GROVE RDJonesboro, AR 72401-7870

Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395

Phone(870) 933-6886

Fax(870) 933-9395

Sole ProprietorNo

Enumeration DateMay 14, 2008

Last NPPES UpdateMay 14, 20182 updates tracked since enumeration

✔ NPI 1215104740 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 AR · P1201004

1815 PLEASANT GROVE RD, Jonesboro, AR 72401

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Other Identifiers 3

Medicaid169539795AR

Other5AB78AR · Bcbs

Other5WW07AR · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Mr. Wendell E Smith Lpc 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.

SARAH LYNN MATTHEWS MHPP

Case Manager/Care Coordinator