MR. JERRY TYRONE SMITH PLPC NPI 1356965719

NPI Information

  • NPI: 1356965719
  • Provider Name: MR. JERRY TYRONE SMITH, PLPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6818 PASADENA RD
    CHEYENNE, WY
    ZIP 82009
  • Phone: (814) 282-4045

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NPI Details

MR. Jerry Tyrone Smith, PLPC is a mental health counselor in Cheyenne, WY. MR. Jerry Tyrone Smith, PLPC NPI is 1356965719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6818 PASADENA RD
CHEYENNE, WY
ZIP 82009-812
Phone: (814) 282-4045

The enumeration date for this NPI number is 6/2/2020 and was last updated on 6/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health1154WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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