Provider Demographics
NPI:1144564659
Name:SMITH, JERIMEE (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:JERIMEE
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 E MISSISSIPPI AVE APT 56
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2213
Mailing Address - Country:US
Mailing Address - Phone:720-441-1964
Mailing Address - Fax:
Practice Address - Street 1:5420 S QUEBEC ST STE 102
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1902
Practice Address - Country:US
Practice Address - Phone:303-706-9722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000529101YA0400X
COLPC.0012288101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)