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

Jessica Smith

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255733473

Jessica Smith is a Mental Health Counselor in Canon City, Colorado. Qualified in 2013, 13 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
13
Licensed in
CO
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3225 Independence Rd
Canon City, CO 81212-9380
Phone: (719) 275-2351
Fax: (719) 269-9373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0012585 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACD.0001037 (CO)

Record details

NPI number1255733473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019
Mailing address3225 Independence Rd, Canon City, CO 81212-9380

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)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canon City