KAITLYN SMITH
NPI 1053812859
Counselor - Professional in Starkville, MS

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment
1085 STARK RD # SUIETF, STARKVILLE, MS 39759(662) 601-4011 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2024, Feb 27, 2018 (2 updates tracked since 2018).

About Kaitlyn Smith NPPES

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

KAITLYN SMITH (NPI 1053812859) is an individual professional provider in Starkville, Mississippi, licensed in Mississippi (P-0930) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053812859
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAITLYN SMITH
Location Address1085 STARK RD # SUIETFStarkville, MS 39759-3682
Mailing Address1085 Stark Rd # SuietfStarkville, MS 39759-3682 · (622) 601-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 27, 2018
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1053812859 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 MS · P-0930
1085 STARK RD # SUIETF, Starkville, MS 39759

Other Names 1

Former Name (1)Kaitlyn Rehbeck

Accepted Insurance

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

Kaitlyn Smith 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 ID8628557956
PECOS Enrollment IDI20260206003818
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.

Medicare Billing Reassignment

Medicare enrollment records show Kaitlyn Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
100 STARR AVE #K
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 14 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.

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 Kaitlyn Smith's NPI number?

The NPI number for Kaitlyn Smith is 1053812859. It was assigned to this individual provider in the NPPES registry on February 27, 2018. The provider is also known as Kaitlyn Rehbeck.

Where is Kaitlyn Smith located?

Kaitlyn Smith practices at 1085 Stark Rd # Suietf, Starkville, MS 39759. The listed phone number is (662) 601-4011.

What is Kaitlyn Smith's specialty?

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

Is Kaitlyn Smith enrolled in Medicare?

Yes. Kaitlyn 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 Kaitlyn Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Smith reassigns Medicare benefits to Starkville Wellness Group (Starkville, MS). 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 Kaitlyn Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Smith accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kaitlyn 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 Kaitlyn Smith was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.