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KENNETH PERRY SMITH LPC
NPI 1194050336
Counselor - Professional in Greenville, SC

Active since October 06, 2009PECOS Enrolled
44 MOUNT VISTA AVE, GREENVILLE, SC 29605(864) 546-8027(864) 355-9752 Get Directions Write a Review

NPPES record last updated: October 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Perry Smith Lpc NPPES

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

KENNETH PERRY SMITH LPC (NPI 1194050336) is an individual professional provider in Greenville, South Carolina, licensed in South Carolina (5086) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2009).

NPPES Registry Identity

NPI1194050336
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNETH PERRY SMITHCredential: LPC
Location Address44 MOUNT VISTA AVEGreenville, SC 29605-1119
Mailing Address44 Mount Vista AveGreenville, SC 29605-1119 · (864) 546-8027 · Fax (864) 355-9752
Phone(864) 546-8027
Fax(864) 355-9752
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2009
Enumeration DateOctober 6, 2009
✔ NPI 1194050336 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 SC · 5086
44 MOUNT VISTA AVE, Greenville, SC 29605
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Perry Smith Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385097195
PECOS Enrollment IDI20240129001895
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.

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 Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1194050336. It was assigned to this individual provider in the NPPES registry on October 6, 2009.

Where is Kenneth Smith located?

Kenneth Smith practices at 44 Mount Vista Ave, Greenville, SC 29605. The listed phone number is (864) 546-8027.

What is Kenneth Smith's specialty?

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

Is Kenneth Smith enrolled in Medicare?

Yes. Kenneth Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on October 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.