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KATHLEEN MARIAN SMITH LPCC
NPI 1659948669
Counselor - Professional in Mentor, OH

Active since June 08, 2021PECOS Enrolled
8039 BROADMOOR RD STE 12, MENTOR, OH 44060(440) 525-2342(440) 207-9129 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Feb 18, 2025, Jun 29, 2021 and 1 more (4 updates tracked since 2021).

About Kathleen Marian Smith Lpcc NPPES

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

KATHLEEN MARIAN SMITH LPCC (NPI 1659948669) is an individual professional provider in Mentor, Ohio, licensed in Ohio (E.2505099) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659948669
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN MARIAN SMITHCredential: LPCC
Location Address8039 BROADMOOR RD STE 12Mentor, OH 44060-7577
Mailing Address8039 Broadmoor Rd Ste 12Mentor, OH 44060-7577 · (440) 525-2342 · Fax (440) 207-9129
Phone(440) 525-2342
Fax(440) 207-9129
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2021
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1659948669 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 OH · E.2505099
8039 BROADMOOR RD STE 12, Mentor, OH 44060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Marian Smith Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800367475
PECOS Enrollment IDI20260604000902
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 Kathleen Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiance Counseling LLC
Same address
Professional
8039 BROADMOOR RD STE 12
Mentor, OH 44060
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1518858083 (440) 525-2342

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 2

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

RADIANCE COUNSELING LLC
Counselor (Professional)
8039 BROADMOOR RD STE 12
MENTOR, OH 44060
Lake County (440) 525-2342
CHRISTINE STEELE LPCC LPAT
Counselor (Mental Health)
8039 BROADMOOR RD STE 12
MENTOR, OH 44060
Lake County (440) 525-2342

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 Kathleen Smith's NPI number?

The NPI number for Kathleen Smith is 1659948669. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Kathleen Smith located?

Kathleen Smith practices at 8039 Broadmoor Rd Ste 12, Mentor, OH 44060. The listed phone number is (440) 525-2342.

What is Kathleen Smith's specialty?

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

Is Kathleen Smith enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Smith reassigns Medicare benefits to Radiance Counseling LLC (Mentor, 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 Kathleen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kathleen 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 Kathleen Smith was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.