KIMBERLY JILL SMITH LPC
NPI 1023890811
Counselor - Professional in Keller, TX
NPI Status: Active since October 17, 2023
Contact Information
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
Phone: (817) 562-8800
- Individual
- Female
- Years of Experience 16
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KIMBERLY SMITH
This page provides the complete NPI Profile along with additional information for Kimberly Smith, a provider established in Keller, Texas with a medical specialization in Counselor, focusing in professional and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1023890811 assigned on October 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 67884 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1023890811
- Provider Name
- KIMBERLY JILL SMITH LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 620 STONEGLEN DR STE B KELLER, TX 76248
- Location Phone
- (817) 562-8800
- Mailing Address
- 3308 RIVERMOOR CT FORT WORTH, TX 76116
- Mailing Phone
- (254) 855-5147
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-17-2023
- Last Update Date
- 10-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 67884
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kimberly Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kimberly Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517304132
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240319001353
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 2 | 3 | 8 | 9 | 0 | 8 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 4 | 3 | 16 | 9 | 0 | 8 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 4 + 3 + 1 + 6 + 9 + 0 + 8 + 2 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1023890811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
MRS. DIANA BIGHAM M.A.
Marriage & Family Therapist
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
REDEFINE LLC
Marriage & Family Therapist
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
ALICIA LYNN WIMSATT LPC ASSOCIATE
Counselor
(Professional)
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
CRYSTAL THOMPSON LPC
Counselor
(Professional)
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
JULIE VILLAFUERTE LPC-ASSOCIATE
Counselor
(Mental Health)
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
ERICA HYATT LMFT-A
Marriage & Family Therapist
620 STONEGLEN DR STE B
KELLER, TX
ZIP 76248
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023890811, enumerated as an "individual" on October 17, 2023.
The provider is located at 620 STONEGLEN DR STE B KELLER, TX 76248 and the phone number is (817) 562-8800.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Aetna CVS Health and Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.