Individual ProviderJennifer SmithCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121(434) 455-3047PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1427159722Provider TypeIndividualFull NameSmith, JenniferCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date9/26/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121Phone(434) 455-3047Fax(434) 948-4918Mailing LocationMailing Address2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121Phone(434) 455-3047Fax(434) 948-4918Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701003897VirginiaProvider IdentifiersIDDescriptionIssuerID191500DescriptionOtherIssuerANTHEM BLUE SHIELDVirginiaID540843527007DescriptionOtherIssuerHEALTHNET FEDERALVirginia