# MR. JEFFREY SARGENT SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568515005
- **Gender:** Man
- **Credential:** LMHC, LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 3050 | MA | — |
| 106H00000X | Marriage & Family Therapist | 440 | MA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7199181 | AETNA | MA |
| 01 | — | 790687 | TUFTS HEALTH PLAN | MA |
| 01 | — | 9397166 | PHCS | MA |
| 01 | — | LM0369 | BLUE CROSS BLUE SHIELD MA | MA |
| 01 | — | S029341 | CHAMPUS | MA |