1. Home
  2. Directory
  3. Wisconsin
  4. Racine
  5. Counselor
  6. NPI Profile

DR. KELLY JEAN SMITH PH.D., LPC
NPI 1013539477
Counselor - Professional in Racine, WI

Active since May 08, 2020
1717 TAYLOR AVE, RACINE, WI 53403(262) 638-6771 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Jean Smith Ph.d., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY JEAN SMITH PH.D., LPC (NPI 1013539477) is an individual professional provider in Racine, Wisconsin, licensed in Wisconsin (7421-125) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1013539477
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. KELLY JEAN SMITHCredential: PH.D., LPC
Location Address1717 TAYLOR AVERacine, WI 53403-2405
Mailing Address1717 Taylor AveRacine, WI 53403-2405 · (262) 638-6771
Phone(262) 638-6771
Sole ProprietorNo
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
✔ NPI 1013539477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7421-125
1717 TAYLOR AVE, Racine, WI 53403
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERRITT ADAMS CADCIII
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 632-1780
DARREN L TAYLOR CSAC
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6744
MR. DOMINIC D FOSTER LPC-IT, SACIT
Counselor (Mental Health)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6744
TRACY DANIELS CSAC, LPC, ICS
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6674
CATHERINE PEEK APSW
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6342
RACINE COUNTY FINANCE DEPARTMENT
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6693
GINA PATOVISTI LCSW
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6673
NATALIE MEINERT CAPSW
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1013539477. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Kelly Smith located?

Kelly Smith practices at 1717 Taylor Ave, Racine, WI 53403. The listed phone number is (262) 638-6771.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.