Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1972769503 Deactivated / Inactive NPI Female Practitioner

Jennifer M Smith , MCP, LPC CANDIDATE

Counselor - Professional • Enid, OK

⚠️

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 Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2008
NPI Deactivation Date November 28, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Jennifer Smith, MCP, LPC CANDIDATE was a registered Counselor - Professional practicing in Enid, OK. Throughout an active medical career spanning 16 years, Jennifer Smith provided care at the practice location at 502 W RANDOLPH AVE until profile deactivation on 2024-11-28.

Practice Location & Contact Primary Location

Practice Address

502 W Randolph Ave

Enid, OK 737013828

Telephone 5802348000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Enid, OK (2681 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1316255599

Bachelor of Science, BHRS

NPI 1447578745
NPI 1609108497
Annalisa Bergman

Counselor - Mental Health

NPI 1649595000
Christopher O'brien

Psychologist - Rehabilitation

NPI 1952601486

Career & Practice History Timeline

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

11 Historical Events
⚠️
NPI Profile Deactivated November 28, 2024

Record deactivated on November 28, 2024

📍
Updated Practice Location June 03, 2022

Registered at 582 N. 14 ST., PERRY, OK 730775022 (Tel: 9183085512)

📍
Updated Business Mailing Address June 03, 2022

Registered at 582 N. 14TH, PERRY, OK 730773828 (Tel: 9183085512)

👤
Provider Name / Credentials Updated June 03, 2022

Recorded as JENNIFER BRANHAM, MCP, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2022

Counselor

NPI Profile Active August 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2008

Registered at 502 W RANDOLPH AVE, ENID, OK 737013828 (Tel: 5802348000)

📍
Updated Business Mailing Address August 04, 2008

Registered at 502 W RANDOLPH AVE, ENID, OK 737013828 (Tel: 5802348000)

👤
Provider Name / Credentials Updated August 04, 2008

Recorded as JENNIFER SMITH, MCP, LPC CANDIDATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2008

Counselor

🟢
Initial NPI Registration & Enumeration August 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jennifer Smith. Be the first to share your experience!

Sign in to leave a review for Jennifer Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972769503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2008
Last Update: August 04, 2008
Deactivation Date: November 28, 2024

Mailing Address

502 W Randolph Ave

Enid, OK 737013828

Phone: 5802348000

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.