KELLY ATWATER SMITH
NPI 1366819195
Counselor - Professional in Lakewood, CO
About Kelly Atwater Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ATWATER SMITH (NPI 1366819195) is an individual professional provider in Lakewood, Colorado, licensed in Colorado (LPC.0019511) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Atwater Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LAKEWOOD, CO 80228
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 Kelly Smith's NPI number?
The NPI number for Kelly Smith is 1366819195. It was assigned to this individual provider in the NPPES registry on August 27, 2015. The provider is also known as Kelly Marie Atwater.
Where is Kelly Smith located?
Kelly Smith practices at 12055 W 2nd Pl, Lakewood, CO 80228. The listed phone number is (303) 425-0300.
What is Kelly Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelly Smith enrolled in Medicare?
Yes. Kelly Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Smith was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kelly Atwater Smith · NPI 1366819195
Professional provider in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since August 27, 2015.
## Identity
- **NPI:** 1366819195 (Entity type: Individual)
- **Enumerated:** August 27, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC.0019511 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 12055 W 2ND PL, Lakewood, CO 80228-1506
- **Phone:** (303) 425-0300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366819195) · Data from the CMS NPPES public registry.