Jackie Smith Jr, - Counselor in Brentwood, CA

Jackie Smith Jr, is a Counselor - Addiction (substance Use Disorder) based in Brentwood, California. Jackie Smith Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is 9100 Brentwood Blvd, Brentwood, California. He can be reached at his office (for appointments etc.) via phone at (925) 809-7920.

NPI number for Jackie Smith Jr is 1154543866 and his current mailing address is 9100 Brentwood Blvd, Brentwood, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154543866.

Contact Information

Jackie Smith Jr,
9100 Brentwood Blvd,
Brentwood, CA 94513-4000
(925) 809-7920
(925) 809-7928

Map and Direction


Healthcare Provider's Profile

Full NameJackie Smith Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location9100 Brentwood Blvd, Brentwood, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154543866
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 02/05/2008

Medical Identifiers

Medical identifiers for Jackie Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154543866NPI-NPPES
07557OtherCADMC ADOL BRENTWOOD
0726OtherCADRUG M/CAL BILLING NUMBER
56681OtherCASTAFF ID NUMBER
07553OtherCABRENTWOOD ADOL TX
070726OtherCAMASTER PROVIDER NUMBER
070753OtherCAMASTER PROVIDER FILE NUMB
0753OtherCADRUG MEDI-CAL BILLING NO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Smith Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Smith Jr,
9100 Brentwood Blvd,
Brentwood, CA 94513-4000

Ph: (925) 809-7920
Jackie Smith Jr,
9100 Brentwood Blvd,
Brentwood, CA 94513-4000

Ph: (925) 809-7920

Reviews and Comments


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Mrs. Nicole M Massari, LMFT
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Mr. Jose Guizar,
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Mr. George Nikolas Pauls, MSW, CHES
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Harriett Matthews,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9100 Brentwood Blvd, Brentwood, CA 94513
Phone: 925-809-7920    Fax: 925-809-7928

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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