MRS. JENNIFER SMITH (LCDC,SAP) – Addiction (Substance Use Disorder) Counselor, NPI 1407630973

MRS. JENNIFER SMITH (LCDC,SAP) is a healthcare provider. based in Crowley, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCDC,SAP. They hold a License No. 15574 (TX). The NPI Number for MRS. JENNIFER SMITH (LCDC,SAP) is 1407630973

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER SMITH (LCDC,SAP)
NPI
1407630973
Phone
(404) 576-7590
Address
212 LINCOLN LN
Enumeration Date
24 August 2023
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4045767590
Graduation Year
2016 (10 years ago)
PAC ID
6204356553
Professional Enrollment ID
I20250218000937
Address ID
TX76115XXXXFTXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for MRS. JENNIFER SMITH (LCDC,SAP)

  • 212 LINCOLN LN

    CROWLEY, TX 760364016

    Phone: (404) 576-7590

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250218000937IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76036)

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Reviews

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Frequently asked questions

How is MRS. JENNIFER SMITH (LCDC,SAP) identified in CMS data?
CMS-hosted NPPES data lists MRS. JENNIFER SMITH (LCDC,SAP) with NPI 1407630973.
Does CMS list MRS. JENNIFER SMITH (LCDC,SAP) as active?
Yes — MRS. JENNIFER SMITH (LCDC,SAP) is active in the NPI listing used on this page.
What is MRS. JENNIFER SMITH (LCDC,SAP)'s primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for MRS. JENNIFER SMITH (LCDC,SAP) here. Clinical services aligned with this taxonomy classification.
Where is MRS. JENNIFER SMITH (LCDC,SAP) based?
MRS. JENNIFER SMITH (LCDC,SAP) is tied to Crowley, Texas in the data we show; additional addresses may exist on the full record.
Why does MRS. JENNIFER SMITH (LCDC,SAP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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