Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679381693 Individual Practitioner Male Practitioner

Jacob Dennis Smith , CPRS

Peer Specialist • North Mankato, MN

Professional Overview & Biography Verified Profile Summary

Jacob Smith, CPRS is a registered healthcare professional specializing in Peer Specialist in North Mankato, MN. Practice services are available at 1826 COMMERCE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1826 Commerce Dr

North Mankato, MN 560031800

Telephone 5072290350
Fax 5072160371
Associated Practice Facility / Clinic
🏢 Mankato Chemical Health, Llc Facility NPI 1124684907

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in North Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in North Mankato, MN (55 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-12-22
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License MN 9945

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Cassie Ramerth , MS, LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013683069

Master of Science, Licensed Alcohol and Drug Counselor

Sierra Bales , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1073255402

Licensed Alcohol and Drug Counselor

Amanda Burg , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1144731001

Licensed Alcohol and Drug Counselor

Jada Delacruz , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1174269658

Licensed Alcohol and Drug Counselor

Megan Hein , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1184250011

Licensed Alcohol and Drug Counselor

Wendy Schiffler

Counselor - Addiction (Substance Use Disorder)

NPI 1326916685

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2024

Registered at 1826 COMMERCE DR, NORTH MANKATO, MN 560031800 (Tel: 5072290350)

📍
Updated Business Mailing Address December 23, 2024

Registered at 1826 COMMERCE DR, NORTH MANKATO, MN 560031800 (Tel: 5072290350)

👤
Provider Name / Credentials Updated December 23, 2024

Recorded as JACOB SMITH, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2024

Peer Specialist (License #9945 in MN)

🟢
Initial NPI Registration & Enumeration December 23, 2024

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: 1679381693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2024
Last Update: December 23, 2024
Sole Proprietor: No

Mailing Address

1826 Commerce Dr

North Mankato, MN 560031800

Phone: 5072290350

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.