KYLE JAMES SMITH LCPC, NCC
NPI 1023350154
Counselor - Professional in St Charles, IL

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
1120 E MAIN ST, SUITE 201, ST CHARLES, IL 60174(630) 377-6613(630) 377-6225 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Mar 20, 2017 (2 updates tracked since 2017).

About Kyle James Smith Lcpc, Ncc NPPES

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

KYLE JAMES SMITH LCPC, NCC (NPI 1023350154) is an individual professional provider in St Charles, Illinois, licensed in Illinois (180010531) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023350154
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE JAMES SMITHCredential: LCPC, NCC
Location Address1120 E MAIN ST, SUITE 201St Charles, IL 60174-2287
Mailing Address1120 E Main St Ste 201, Centennial Counseling CenterSt Charles, IL 60174-2287 · (630) 377-6613 · Fax (630) 377-6225
Fax(630) 377-6225
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 27, 2013
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1023350154 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 IL · 180010531
1120 E MAIN ST, St Charles, IL 60174

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle James Smith Lcpc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729431929
PECOS Enrollment IDI20240124000999
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

Counselor
1120 E MAIN ST, ST CHARLES
ST CHARLES, IL 60174
Social Worker (Clinical)
1120 E MAIN ST
ST CHARLES, IL 60174
Psychologist (Clinical)
1120 E MAIN ST, SUITE 201
ST CHARLES, IL 60174
Counselor (Professional)
1120 E MAIN ST, SUITE 201
ST CHARLES, IL 60174
Social Worker (Clinical)
1120 E MAIN ST, STE. 201
ST CHARLES, IL 60174
Counselor (Professional)
1120 E MAIN ST, STE. 201
ST CHARLES, IL 60174
Social Worker (Clinical)
1120 E MAIN ST
ST CHARLES, IL 60174
Counselor (Mental Health)
1120 E MAIN ST, STE. 201
ST CHARLES, IL 60174

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 Kyle Smith's NPI number?

The NPI number for Kyle Smith is 1023350154. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Kyle Smith located?

Kyle Smith practices at 1120 E Main St Suite 201, St Charles, IL 60174. The listed phone number is (630) 377-6613.

What is Kyle Smith's specialty?

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

Is Kyle Smith enrolled in Medicare?

Yes. Kyle Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Smith accept?

Health plans from Providence Health Plan list Kyle Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Smith was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.