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Deactivated NPI 1083843064 Deactivated / Inactive NPI Female Practitioner

Jennifer Smitha , LPC

Counselor - Professional • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Smitha has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2009
NPI Deactivation Date September 06, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Jennifer Smitha, LPC was a registered Counselor - Professional practicing in Conway, AR. Throughout an active medical career spanning 14 years, Jennifer Smitha provided care at the practice location at 575 CLUB LN until profile deactivation on 2023-09-06.

Practice Location & Contact Primary Location

Practice Address

575 Club Ln
103

Conway, AR 720343681

Telephone 5014049737
Associated Practice Facility / Clinic
🏢 Lead Teach Mentor, Llc Facility NPI 1851702724

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
62 Specialists

Practicing in Conway, AR (1670 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AR P1206065

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sarah Bramblett , LMFT

Marriage & Family Therapist

NPI 1013446616

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 06, 2023

Record deactivated on September 06, 2023

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NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2016

Registered at 575 CLUB LN, 103, CONWAY, AR 720343681 (Tel: 5014049737)

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Updated Business Mailing Address June 30, 2016

Registered at 575 CLUB LN, CONWAY, AR 720343681 (Tel: 5014286198)

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Provider Name / Credentials Updated June 30, 2016

Recorded as JENNIFER SMITHA, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Counselor (License #P1206065 in AR)

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Initial NPI Registration & Enumeration July 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083843064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2009
Last Update: June 30, 2016
Deactivation Date: September 06, 2023
Update or Correct Profile

Mailing Address

575 Club Ln

Conway, AR 720343681

Phone: 5014286198

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.