JENNIFER SMITH LCSW
NPI 1457578197
Counselor in Macomb, IL

Q: What is Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1457578197. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Jennifer Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 20, 2007PECOS EnrolledAccepts Medicare Assignment

460 S DEER RD, MACOMB, IL 61455(309) 575-3960(309) 575-3988 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Apr 30, 2021 (2 updates tracked since 2021).

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About Jennifer Smith Lcsw NPPES

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

JENNIFER SMITH LCSW (NPI 1457578197) is an individual counselor in Macomb, Illinois and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457578197

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENNIFER SMITHCredential: LCSW

Location Address460 S DEER RDMacomb, IL 61455-2602

Mailing Address460 S Deere RdMacomb, IL 61455 · (309) 333-9829

Phone(309) 575-3960

Fax(309) 575-3988

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 20, 2007

Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1457578197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

460 S DEER RD, Macomb, IL 61455

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Smith Lcsw 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.

PECOS PAC ID6507227410

PECOS Enrollment IDI20230725001833

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

157 services20 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Other Providers at the Same Location NPPES 6

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

ASHLEY MONITA LIPPENS LCSW

Counselor (Mental Health)