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

Individual provider Professional Counselor · NPI 1255913687

Jessica Hackett-Smith is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1115 W Godfrey Ave
Philadelphia, PA 19141-3313
Phone: (267) 403-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 — (215) 360-2565

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC015275 (PA)
Mental Health Counselor Taxonomy 101YM0800X · Licence BH001597 (PA)

Record details

NPI number1255913687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2021
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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