| Jeremy Smith, | |
|
636 S Lexington Springmill Rd, Mansfield, OH 44906-3315 | |
| (419) 214-1260 | |
| (419) 214-1270 |
| Full Name | Jeremy Smith |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 636 S Lexington Springmill Rd, Mansfield, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023423597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | JERESMITH (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appleseed Community Mental Health Center Inc | 1557269784 | 13 |
| Entity Name | Appleseed Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215961594 PECOS PAC ID: 1557269784 Enrollment ID: O20031226000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Smith, 636 S Lexington Springmill Rd, Mansfield, OH 44906-3315 Ph: (419) 214-1260 | Jeremy Smith, 636 S Lexington Springmill Rd, Mansfield, OH 44906-3315 Ph: (419) 214-1260 |
Elizabeth A Dean, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 680 Park Ave W, Mansfield, OH 44906 Phone: 419-528-5993 Fax: 568-560-5483 |
Gary Lee Russell, LPCC-S, LICDC Counselor Medicare: May Accept Medicare Assignments Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 |
Debora Van Romer, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 Fax: 419-756-5642 |
Wesley Kyser, LISW-S, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Smith Ave, Mansfield, OH 44905 Phone: 419-982-2400 |
Moriah Brooke Brooke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1183 Monterey Dr, Mansfield, OH 44907 Phone: 567-231-3032 |
Aloys Kamwithi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sterkel Blvd, Mansfield, OH 44907 Phone: 419-756-1133 Fax: 419-756-7456 |
Jessica L Luttrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Park Ave W, Mansfield, OH 44906 Phone: 419-709-8103 |