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MR. KENNETH LEROY SMITH SR. LPC014651
NPI 1437905221
Counselor - Mental Health in Rome, GA

Active since April 24, 2024PECOS EnrolledAccepts Medicare Assignment
332 HASTY RD NE, ROME, GA 30161(762) 357-4921 Get Directions Write a Review

NPPES record last updated: June 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2024, Apr 24, 2024 (2 updates tracked since 2024).

About Mr. Kenneth Leroy Smith Sr. Lpc014651 NPPES

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

MR. KENNETH LEROY SMITH SR. LPC014651 (NPI 1437905221) is an individual mental health provider in Rome, Georgia, licensed in Georgia (LPC14651) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437905221
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH LEROY SMITH SR.Credential: LPC014651
Location Address332 HASTY RD NERome, GA 30161-7795
Mailing Address1838 Redmond Cir Nw Ste ERome, GA 30165-1379 · (706) 270-5022 · Fax (762) 320-5365
Phone(762) 357-4921
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 24, 2024
Last NPPES UpdateJune 16, 20242 updates tracked since enumeration
NPPES CertifiedJune 16, 2024
✔ NPI 1437905221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC14651
332 HASTY RD NE, Rome, GA 30161
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth Leroy Smith Sr. Lpc014651 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244773224
PECOS Enrollment IDI20240618003850
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.

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 Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1437905221. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Kenneth Smith located?

Kenneth Smith practices at 332 Hasty Rd NE, Rome, GA 30161. The listed phone number is (762) 357-4921.

What is Kenneth Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kenneth Smith enrolled in Medicare?

Yes. Kenneth Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on June 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.