MS. KIMBERLY A SMITH LPCC-S
NPI 1417028713
Counselor in Chillicothe, OH

Q: What is Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1417028713. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Kimberly Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 10, 2006PECOS Enrolled

455 SHAWNEE LANE, CHILLICOTHE, OH 45601(740) 779-4888(740) 779-4898 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Kimberly A Smith Lpcc-s NPPES

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

MS. KIMBERLY A SMITH LPCC-S (NPI 1417028713) is an individual counselor in Chillicothe, Ohio, licensed in Ohio (E-0002496-S) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417028713

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. KIMBERLY A SMITHCredential: LPCC-S

Location Address455 SHAWNEE LANEChillicothe, OH 45601

Mailing Address455 Shawnee LaneChillicothe, OH 45601 · (740) 779-4888 · Fax (740) 779-4898

Phone(740) 779-4888

Fax(740) 779-4898

Sole ProprietorNo

Enumeration DateNovember 10, 2006

Last NPPES UpdateApril 6, 2021

NPPES CertifiedApril 6, 2021

✔ NPI 1417028713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Licenses✔ Licensed in OH · E-0002496-S✔ Licensed in OH · E-0002496

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

455 SHAWNEE LANE, Chillicothe, OH 45601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly A Smith Lpcc-s 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 Kimberly Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adena Medical Group LLC

1.8 mi

Family Medicine

272 HOSPITAL RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
763 clinicians in this Medicare group

NPI 1235468083 (740) 779-7500

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 3

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

DR. JAMES R HAGEN PHD

Psychologist (Clinical)

455 SHAWNEE LANE
CHILLICOTHE, OH 45601

Ross County (740) 779-4888

MISS KRISTY L ANDERSON PCC

Counselor

455 SHAWNEE LANE
CHILLICOTHE, OH 45601

Ross County (740) 779-4888

MS. LINDA J HUDEC PCC LICDC III

Counselor

455 SHAWNEE LANE
CHILLICOTHE, OH 45601

Ross County (740) 779-4888

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 Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1417028713. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Kimberly Smith located?

Kimberly Smith practices at 455 Shawnee Lane, Chillicothe, OH 45601. The listed phone number is (740) 779-4888.

What is Kimberly Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kimberly Smith enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Smith reassigns Medicare benefits to Adena Medical Group LLC (Chillicothe, OH). 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 Kimberly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.