Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremiah T Smith, LPCC-S

Individual provider Professional Counselor · NPI 1063046043

Jeremiah T Smith, LPCC-S is a Mental Health Counselor in Cleveland, Ohio. Qualified in 2020, 6 years ago. Practices with Mindfully LLC, a 66-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

4269 Pearl Rd Fl 3
Cleveland, OH 44109-4234
Phone: (216) 431-4131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 — (513) 939-0300

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2303580-SUPV (OH)

Record details

NPI number1063046043
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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