JACLYN W SMITH (NPI# 1700209681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700209681 |
| Entity Type | Individual |
| Full Name | JACLYN W SMITH |
| Other Name | JACLYN M WATKINS |
| Credential | MA LPC-S |
| Practice Address |
5351 Samuell Blvd Dallas TX 75228-6720 |
| Mailing Address |
4725 Lake Cove Way Frisco TX 75034 |
| Practice Telephone | 2148182600 |
| Practice Fax Number | 2148182645 |
| Mailing Telephone | 2107713034 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
68019 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376904060 | Jaclyn Smith | Physical Therapist | 214 Argus Rd, Saint Augustine, FL 32086 | 2016-03-09 |
| 1942567722 | Jaclyn Smith | Dental Hygienist | 19173 Santa Barbara Dr, Detroit, MI 48221-1624 | 2012-04-18 |
| 1225669658 | Jaclyn Leigh Smith | Registered Nurse | 200 E State St Fl 3, Alliance, OH 44601-4936 | 2020-02-04 |
| 1932679719 | Jaclyn Smith | Physical Therapy Assistant | 400 E Howry Ave, Deland, FL 32724-5400 | 2018-12-05 |
| 1881189488 | Jaclyn Jones Smith | Counselor | 305 S Highland Dr, Many, LA 71449 | 2018-06-26 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
| 1235669755 | Jaclyn Arielle Smith | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316 | 2017-06-18 |
| 1255738134 | Jaclyn Smith | Counselor | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2014-11-20 |
| 1306275631 | Jaclyn Smith | Dietitian, Registered | 9100 Babcock Blvd, Nutrition Services, Pittsburgh, PA 15237-5815 | 2013-11-07 |
| 1609203629 | Jaclyn Smith | Advanced Practice Midwife | 270 Old Hook Rd, Westwood, NJ 07675-3117 | 2013-10-04 |
| Street Address |
5351 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295178184 | Nora Bess Gardner | Social Worker | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2013-04-10 |
| 1679182034 | Leah Elizabeth Levy | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2020-07-30 |
| 1669081386 | Sophia Grace Stevens | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2020-07-28 |
| 1215558226 | Margaret White Evans | Social Worker | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2020-04-30 |
| 1972130656 | Tiana Johnson | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2020-03-24 |
| 1851958060 | Jacqueline F Chavez | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2019-05-22 |
| 1275009110 | Amy Bell | Social Worker | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2018-10-18 |
| 1497220586 | Lacy Starnes | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2018-10-04 |
| 1326529959 | Tama Walley | Social Worker | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2018-08-22 |
| 1770062739 | Hallie Brady | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
| 1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
| 1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
| 1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
| 1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
| 1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
| 1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.