MRS. VICKI L REVELL-SMITH MS,LPC
NPI 1194742296
Counselor - Mental Health in Gulfport, MS
About Mrs. Vicki L Revell-smith Ms,lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. VICKI L REVELL-SMITH MS,LPC (NPI 1194742296) is an individual mental health provider in Gulfport, Mississippi, licensed in Mississippi (723) and active in the NPI registry since July 2006. She has opted out of Medicare through March 11, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Vicki L Revell-smith Ms,lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2024 through March 11, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vicki Revell-smith's NPI number?
The NPI number for Vicki Revell-smith is 1194742296. It was assigned to this individual provider in the NPPES registry on July 16, 2006.
Where is Vicki Revell-smith located?
Vicki Revell-smith practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-1132.
What is Vicki Revell-smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Vicki Revell-smith enrolled in Medicare?
No. Vicki Revell-smith has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Vicki Revell-smith accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Vicki Revell-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 Vicki Revell-smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Vicki L Revell-Smith, MS,LPC · NPI 1194742296
Mental Health provider in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since July 16, 2006.
## Identity
- **NPI:** 1194742296 (Entity type: Individual)
- **Enumerated:** July 16, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 723 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 BROAD AVE, Gulfport, MS 39501-3603
- **Phone:** (228) 863-1132 · **Fax:** (228) 865-1700
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 11, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 00018213 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1194742296) · Data from the CMS NPPES public registry.