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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KENNETH RAY SMITH, JR. M.DIV., M.A.
NPI 1710054028
Counselor - Mental Health in Seattle, WA

Active since November 29, 2006
2012 NE 65TH ST, SEATTLE, WA 98115(206) 523-3202(206) 367-0919 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Ray Smith, Jr. M.div., M.a. NPPES

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

MR. KENNETH RAY SMITH, JR. M.DIV., M.A. (NPI 1710054028) is an individual mental health provider in Seattle, Washington, licensed in Washington (LF00001684) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710054028
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH RAY SMITH, JR.Credential: M.DIV., M.A.
Location Address2012 NE 65TH STSeattle, WA 98115-6934
Mailing Address2012 Ne 65th StSeattle, WA 98115-6934 · (206) 523-3202 · Fax (206) 367-0919
Phone(206) 523-3202
Fax(206) 367-0919
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 9, 2026
✔ NPI 1710054028 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 WA · LF00001684
2012 NE 65TH ST, Seattle, WA 98115
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Other Names 1

Professional Name (2)Mr. Kenneth R. Smith, M.div., M.a. M.div., M.a.

Other Providers at the Same Location NPPES 7

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

MS. JUDITH C CANTOR MSW
Social Worker (Clinical)
2012 NE 65TH ST
SEATTLE, WA 98115
King County (206) 526-8137
JAN EISENHARDT M.A.
Marriage & Family Therapist
2012 NE 65TH ST
SEATTLE, WA 98115
King County (206) 523-9133
ELLIE WILDE PHD
Counselor (Mental Health)
2012 NE 65TH ST
SEATTLE, WA 98115
King County (425) 242-7187
AMANDA CLESS
Counselor (Mental Health)
2012 NE 65TH ST
SEATTLE, WA 98115
King County (206) 484-8463
DIANE M WOLMAN MSW
Social Worker (Clinical)
2012 NE 65TH ST
SEATTLE, WA 98115
King County (206) 329-6133
JILLIAN FLEMMIG LICSW
Social Worker (Clinical)
2012 NE 65TH ST
SEATTLE, WA 98115
King County (206) 929-1543
BENAZIR SARDAR
Counselor (Mental Health)
2012 NE 65TH ST
SEATTLE, WA 98115
King County (425) 242-7187

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, Jr.'s NPI number?

The NPI number for Kenneth Smith, Jr. is 1710054028. It was assigned to this individual provider in the NPPES registry on November 29, 2006. The provider is also known as Mr. Kenneth R. Smith, M.Div., M.A. M.Div., M.A..

Where is Kenneth Smith, Jr. located?

Kenneth Smith, Jr. practices at 2012 NE 65th St, Seattle, WA 98115. The listed phone number is (206) 523-3202.

What is Kenneth Smith, Jr.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Smith, Jr. was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.