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TRACEY SMITH CADC,LPCC
NPI 1366869596
Counselor - Professional in Jackson, KY

Active since March 26, 2014PECOS Enrolled
3830 HIGHWAY 15 S, JACKSON, KY 41339(606) 666-7591(606) 666-8364 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracey Smith Cadc,lpcc NPPES

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

TRACEY SMITH CADC,LPCC (NPI 1366869596) is an individual professional provider in Jackson, Kentucky, licensed in Kentucky (103847) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366869596
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACEY SMITHCredential: CADC,LPCC
Location Address3830 HIGHWAY 15 SJackson, KY 41339-8675
Mailing Address115 Rockwood LnHazard, KY 41701-9415 · (606) 436-5761 · Fax (606) 436-5797
Phone(606) 666-7591
Fax(606) 666-8364
Sole ProprietorNo
Enumeration DateMarch 26, 2014
Last NPPES UpdateApril 2, 2018
✔ NPI 1366869596 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 KY · 103847
3830 HIGHWAY 15 S, Jackson, KY 41339
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100297940KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Smith Cadc,lpcc 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 Tracey Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky River Community Care, Inc
17 mi
Mental Health (Including Community Mental Health Center)
115 ROCKWOOD LN
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 67 clinicians in this Medicare group
NPI 1528017142 (606) 436-4071

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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREAMA WOOTON CDDC,LPCC
Counselor (Professional)
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 666-7591
MR. WILLIAM ALBERT HERALD LCSW
Social Worker (Clinical)
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 436-5761
AARON BARRETT
Case Manager/Care Coordinator
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 666-7591
CHRISTIE LYNN TURNER CADC,LPCC
Counselor (Professional)
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 666-7591
BERNETTA SOUTHWOOD LCSW
Social Worker (Clinical)
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 666-7591
JENNIFER THOMAS
Case Manager/Care Coordinator
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 666-7591
JESSICA COLLINS LCSW
Social Worker (Clinical)
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (800) 575-7223
JOHN F. INSERRA JR. LPCC
Counselor (Mental Health)
3830 HIGHWAY 15 S
JACKSON, KY 41339
Breathitt County (606) 436-5761

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 Tracey Smith's NPI number?

The NPI number for Tracey Smith is 1366869596. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Tracey Smith located?

Tracey Smith practices at 3830 Highway 15 S, Jackson, KY 41339. The listed phone number is (606) 666-7591.

What is Tracey Smith's specialty?

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

Is Tracey Smith enrolled in Medicare?

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

Which organization bills Medicare for Tracey Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Smith reassigns Medicare benefits to Kentucky River Community Care, Inc (Hazard, KY). 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 Tracey Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Smith accept?

Health plans from Anthem Blue Cross and Blue Shield list Tracey 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 Tracey Smith was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.