DR. JESSE SMOTHERMAN PH.D.
NPI 1497338453
Clinical Neuropsychologist in Slidell, LA

Active since April 28, 2021PECOS Enrolled
120 VILLAGE ST STE 2, SLIDELL, LA 70458(888) 606-0086(346) 223-0296 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 5, 2026, Apr 7, 2026, Apr 28, 2021 (3 updates tracked since 2021).

About Dr. Jesse Smotherman Ph.d. NPPES

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

DR. JESSE SMOTHERMAN PH.D. (NPI 1497338453) is an individual clinical neuropsychologist in Slidell, Louisiana, licensed in Louisiana (1577PL) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497338453
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JESSE SMOTHERMANCredential: PH.D.
Location Address120 VILLAGE ST STE 2Slidell, LA 70458-5300
Mailing Address121 Stratford DrSlidell, LA 70458-1745 · (985) 285-9473
Fax(346) 223-0296
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1497338453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in LA · 1577PL
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1577PL (LA)
120 VILLAGE ST STE 2, Slidell, LA 70458

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)

Dr. Jesse Smotherman Ph.d. 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.

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 Jesse Smotherman's NPI number?

The NPI number for Jesse Smotherman is 1497338453. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Jesse Smotherman located?

Jesse Smotherman practices at 120 Village St Ste 2, Slidell, LA 70458. The listed phone number is (888) 606-0086.

What is Jesse Smotherman's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jesse Smotherman enrolled in Medicare?

Yes. Jesse Smotherman is registered in the Medicare PECOS enrollment system.

What insurance does Jesse Smotherman accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jesse Smotherman 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 Jesse Smotherman was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.