JENNIFER DEBORAE SMITH LCPC
NPI 1245861202
Counselor - Professional in Orland Park, IL
About Jennifer Deborae Smith Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER DEBORAE SMITH LCPC (NPI 1245861202) is an individual professional provider in Orland Park, Illinois, licensed in Illinois (180.015343) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jennifer Deborae Smith Lcpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Smith's NPI number?
The NPI number for Jennifer Smith is 1245861202. It was assigned to this individual provider in the NPPES registry on January 29, 2020.
Where is Jennifer Smith located?
Jennifer Smith practices at 9641 W 153rd St Ste 48, Orland Park, IL 60462. The listed phone number is (708) 963-0333.
What is Jennifer Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Smith enrolled in Medicare?
Yes. Jennifer 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 organization bills Medicare for Jennifer Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Smith reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, IL). The 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 Jennifer Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Smith was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jennifer Deborae Smith, LCPC · NPI 1245861202
Professional provider in Orland Park, Illinois. Individual provider, active in the CMS NPPES registry since January 29, 2020.
## Identity
- **NPI:** 1245861202 (Entity type: Individual)
- **Enumerated:** January 29, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.015343 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 9641 W 153RD ST STE 48, Orland Park, IL 60462-3777
- **Phone:** (708) 963-0333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245861202) · Data from the CMS NPPES public registry.