JESSICA CAROLINE SMITH M.S. CCC- SLP
NPI 1700268174
Speech-Language Pathologist in Mineral Wells, TX

Active since June 22, 2015
1101 FM 3027, MINERAL WELLS, TX 76067(940) 682-6370 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Caroline Smith M.s. Ccc- Slp NPPES

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

JESSICA CAROLINE SMITH M.S. CCC- SLP (NPI 1700268174) is an individual speech-language pathologist provider in Mineral Wells, Texas, licensed in Texas (111211) and active in the NPI registry since June 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1700268174
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA CAROLINE SMITHCredential: M.S. CCC- SLP
Location Address1101 FM 3027Mineral Wells, TX 76067-2008
Mailing Address1101 Fm 3027Mineral Wells, TX 76067-2008
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1700268174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 111211
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1101 FM 3027, Mineral Wells, TX 76067

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Caroline Smith M.s. Ccc- Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911470877
PECOS Enrollment IDI20260623002953

Medicare Billing Reassignment

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

Physical Therapist
7824 LANDERS LN
Fort Worth, TX 76135
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jessica Smith's NPI number?

The NPI number for Jessica Smith is 1700268174. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Jessica Smith located?

Jessica Smith practices at 1101 Fm 3027, Mineral Wells, TX 76067. The listed phone number is (940) 682-6370.

What is Jessica Smith's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jessica Smith enrolled in Medicare?

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

Which organization bills Medicare for Jessica Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Smith reassigns Medicare benefits to Cerda Pediatric & Neuro Physical Therapy PLLC (Fort Worth, TX). 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 Jessica Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Smith was last updated on July 7, 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.