Jaclyn W Smith, MA LPC-S in Dallas, TX - Medicare Counselor Provider

Jaclyn W Smith, MA LPC-S is a medicare enrolled "Counselor - Professional" provider in Dallas, Texas. Her current practice location is 5351 Samuell Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 818-2600.

Jaclyn W Smith is licensed to practice in Texas (license number 68019) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700209681.

Contact Information

	Jaclyn W Smith, MA LPC-S
	5351 Samuell Blvd, Dallas, TX 75228-6720
	(214) 818-2600
	(214) 818-2645

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn W Smith
Gender	Female
Speciality	Counselor - Professional
Location	5351 Samuell Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700209681
Provider Enumeration Date: 01/28/2014
Last Update Date: 09/27/2017

Medicare PECOS Information:

PECOS PAC ID: 5597114330
Enrollment ID: I20231206000267

Medical Identifiers

Medical identifiers for Jaclyn W Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700209681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	68019 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn W Smith allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672

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. Jaclyn W Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn W Smith, MA LPC-S 4725 Lake Cove Way, Frisco, TX 75034 Ph: (210) 771-3034	Jaclyn W Smith, MA LPC-S 5351 Samuell Blvd, Dallas, TX 75228-6720 Ph: (214) 818-2600

Reviews and Comments

Counselor in Dallas, TX

Keisha L. Butler, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy, Suite 400-8, Dallas, TX 75201 Phone: 214-298-7647 Fax: 469-227-4251
Mrs. Ashley Nicole Dye, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4600 Samuell Blvd, Dallas, TX 75228 Phone: 214-381-7181
Ms. Ana Cecilia Gutierrez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6220 Gaston Ave, Suite 501, Dallas, TX 75214 Phone: 972-904-7935 Fax: 972-838-1446
Mr. James Richard White, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8222 Douglas Ave, Suite 390, Dallas, TX 75225 Phone: 214-234-2400 Fax: 214-234-2401
Dr. Cathey Soutter, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 Preston Rd, Dallas, TX 75252 Phone: 972-733-6565
Antonio Gonzales, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698
William Keith Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 Maple Ave, Ste. 100, Dallas, TX 75235 Phone: 214-351-6600 Fax: 214-351-5046

Jaclyn W Smith, MA LPC-S - Medicare Counselor in Dallas, TX