KYLE JAMES SMITH LCPC, NCC
NPI 1023350154
Counselor - Professional in St Charles, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Charles, IL 60174
- Reassigned Medicare billing, Illinois enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ST CHARLES, IL 60174
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.
Which organization bills Medicare for Kyle Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Smith reassigns Medicare benefits to Centennial Counseling Center, PC (St Charles, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Kyle James Smith, LCPC, NCC · NPI 1023350154
Professional provider in St Charles, Illinois. Individual provider, active in the CMS NPPES registry since March 27, 2013.
## Identity
- **NPI:** 1023350154 (Entity type: Individual)
- **Enumerated:** March 27, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180010531 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 E MAIN ST, SUITE 201, St Charles, IL 60174-2287
- **Phone:** (630) 377-6613 · **Fax:** (630) 377-6225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Centennial Counseling Center, PC (NPI 1376544387, St Charles, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023350154) · Data from the CMS NPPES public registry.