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JACQUALYN SMITH
NPI 1578150512
Counselor - Mental Health in Shelton, WA

Active since December 23, 2020
307 W COTA ST, SHELTON, WA 98584(360) 205-8010 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqualyn Smith NPPES

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

JACQUALYN SMITH (NPI 1578150512) is an individual mental health provider in Shelton, Washington and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1578150512
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUALYN SMITH
Location Address307 W COTA STShelton, WA 98584-2265
Mailing Address2126 Adams StShelton, WA 98584-2902 · (253) 266-5928
Phone(360) 205-8010
Sole ProprietorYes
Enumeration DateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
✔ NPI 1578150512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
307 W COTA ST, Shelton, WA 98584
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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.

ROBERT IRWIN BROWN III CNA
Nurse's Aide
307 W COTA ST
SHELTON, WA 98584
Mason County (503) 348-3767
LYNEAH MACELLA MACIEL RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
WESTON JOSEPH BROUSSARD II
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8002
JENNIFER L WHETSTONE RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
KRYSTEL NYSTED RN
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (847) 347-6251
MILONNA CLOSE LMHC
Counselor
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001
CHELEACE RYDER LPN
Licensed Practical Nurse
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8011
DEVIN RAY ALLEN AAC
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Mason County (360) 205-8001

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 Jacqualyn Smith's NPI number?

The NPI number for Jacqualyn Smith is 1578150512. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Jacqualyn Smith located?

Jacqualyn Smith practices at 307 W Cota St, Shelton, WA 98584. The listed phone number is (360) 205-8010.

What is Jacqualyn Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqualyn Smith was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.