MS. IESHA SMITH LPC
NPI 1396340824
Counselor - Professional in Jackson, MS

Active since December 02, 2020PECOS Enrolled
1513 LAKELAND DR, JACKSON, MS 39216(601) 939-7990 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 18, 2026, Dec 2, 2020 (2 updates tracked since 2020).

About Ms. Iesha Smith Lpc NPPES

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

MS. IESHA SMITH LPC (NPI 1396340824) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (2377) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paducah, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396340824
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. IESHA SMITHCredential: LPC
Location Address1513 LAKELAND DRJackson, MS 39216-4829
Mailing Address5652 Highland DrJackson, MS 39206-3516
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 2, 2020
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1396340824 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 MS · 2377
1513 LAKELAND DR, Jackson, MS 39216

Secondary Practice Location 1

Location 1125 S 20th StPaducah, KY 42001-7100 · Phone (270) 575-3247 · Fax (270) 442-7335

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)

Ms. Iesha Smith Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800367863
PECOS Enrollment IDI20260612003356
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.

Allergy & Immunology
1513 LAKELAND DR, STE 100
JACKSON, MS 39216
Allergy & Immunology
1513 LAKELAND DR, STE 101
JACKSON, MS 39216
Dentist
1513 LAKELAND DR, SUITE 201
JACKSON, MS 39216
Family Medicine
1513 LAKELAND DR, SUITE 200
JACKSON, MS 39216
Behavior Analyst
1513 LAKELAND DR
JACKSON, MS 39216
Counselor (Professional)
1513 LAKELAND DR
JACKSON, MS 39216
Behavior Analyst
1513 LAKELAND DR
JACKSON, MS 39216
Counselor (Mental Health)
1513 LAKELAND DR
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396340824, enumerated as an "individual" on December 02, 2020.

The provider is located at 1513 LAKELAND DR JACKSON, MS 39216 and the phone number is (601) 939-7990.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.