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JACQUELINE SMITH LPC
NPI 1457994287
Counselor - Professional in Casa Grande, AZ

Active since October 24, 2019PECOS Enrolled
210 E COTTONWOOD LN, CASA GRANDE, AZ 85122(520) 836-1688(520) 421-2708 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2019, Oct 24, 2019 (2 updates tracked since 2019).

About Jacqueline Smith Lpc NPPES

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

JACQUELINE SMITH LPC (NPI 1457994287) is an individual professional provider in Casa Grande, Arizona, licensed in Arizona (LPC-18314) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457994287
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE SMITHCredential: LPC
Location Address210 E COTTONWOOD LNCasa Grande, AZ 85122-2514
Mailing Address210 E Cottonwood LnCasa Grande, AZ 85122-2514
Phone(520) 836-1688
Fax(520) 421-2708
Sole ProprietorNo
Enumeration DateOctober 24, 2019
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1457994287 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 AZ · LPC-18314
210 E COTTONWOOD LN, Casa Grande, AZ 85122
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
34 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

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 16

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

BIANCA LAWSON
Pharmacy Technician
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (520) 413-0262
NORMA BENEDICT PHD
Social Worker (Clinical)
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (520) 836-1688
HORIZON HEALTH AND WELLNESS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (480) 983-0065
MARTHA E BAILEY MS, LIAC
Counselor (Addiction (Substance Use Disorder))
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (480) 983-0065
MRS. ERIN ELLINGTON APRN
Nurse Practitioner (Psychiatric/Mental Health)
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (520) 876-1800
DAVID P MARTINEZ RN
Registered Nurse
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (520) 836-1688
MRS. KATHERINE GRIFFIN
Pharmacy Technician
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (520) 413-0262
MS. KATHLEEN MICHELE PRESTON NP
Nurse Practitioner (Adult Health)
210 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (480) 983-0065

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 1457994287. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is Jacqueline Smith located?

Jacqueline Smith practices at 210 E Cottonwood Ln, Casa Grande, AZ 85122. The listed phone number is (520) 836-1688.

What is Jacqueline Smith's specialty?

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

Is Jacqueline Smith enrolled in Medicare?

Yes. Jacqueline Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Smith reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). 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 Jacqueline Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Smith accept?

Health plans from Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. 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 October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.