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KELLY ATWATER SMITH
NPI 1366819195
Counselor - Professional in Lakewood, CO

Active since August 27, 2015PECOS Enrolled
12055 W 2ND PL, LAKEWOOD, CO 80228(303) 425-0300 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2025, Jun 23, 2023 (2 updates tracked since 2023).

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

NPI1366819195
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY ATWATER SMITH
Location Address12055 W 2ND PLLakewood, CO 80228-1506
Mailing Address4851 Independence StWheat Ridge, CO 80033-6715 · (303) 425-0300
Phone(303) 425-0300
Sole ProprietorNo
Enumeration DateAugust 27, 2015
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1366819195 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 CO · LPC.0019511
12055 W 2ND PL, Lakewood, CO 80228
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Marie Atwater

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Atwater Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelly Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson Center For Mental Health
4.8 mi
Mental Health (Including Community Mental Health Center)
4851 INDEPENDENCE ST
Wheat Ridge, CO 80033
  • Reassigned Medicare billing, Colorado enrollment
  • 276 clinicians in this Medicare group
NPI 1154403798 (303) 425-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TIYANNA DENNIS
Counselor (Mental Health)
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300
LAUREN E MCMULLIN LCSW
Social Worker (Clinical)
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300
DR. HIMAL SHRESTHA
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300
ROOTED BEHAVIORAL HEALTH PARTNERS, LLC
Community/Behavioral Health
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300
FAYE I MAGUIRE MA
Psychologist
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (720) 331-2454
MS. MARY PIKE MA, LPC
Counselor (Professional)
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300
MS. JENNIFER LAUREN KREMMEL
Marriage & Family Therapist
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300
MS. ERIN REID HART MA, LAC
Counselor (Professional)
12055 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (303) 425-0300

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.

Which organization bills Medicare for Kelly Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Smith reassigns Medicare benefits to Jefferson Center For Mental Health (Wheat Ridge, CO). 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 Kelly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Smith accept?

Health plans from Select Health list Kelly 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 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 20 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.