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

Mr. Jeffrey Allen Smart, LPCC-S, LICDC

Individual provider Professional Counselor · NPI 1912355579

Mr. Jeffrey Allen Smart, LPCC-S, LICDC is a Mental Health Counselor in Beavercreek, Ohio. Qualified in 2016, 10 years ago. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016

Practice location Address checks out

1411 N Fairfield Rd
Beavercreek, OH 45432-2658
Phone: (937) 426-2686
Fax: (937) 426-6230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E1800894 (OH)

Record details

NPI number1912355579
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S , LICDC
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Beavercreek