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KELLIE SMITH
NPI 1710596549
Marriage & Family Therapist in Philadelphia, PA

Active since July 28, 2020PECOS Enrolled
7552 FRANKFORD AVE, PHILADELPHIA, PA 19136(267) 254-6884 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kellie Smith NPPES

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

KELLIE SMITH (NPI 1710596549) is an individual marriage & family therapist in Philadelphia, Pennsylvania and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710596549
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLIE SMITH
Location Address7552 FRANKFORD AVEPhiladelphia, PA 19136-3534
Mailing Address241 S 47th St Apt 103Philadelphia, PA 19139-4408 · (240) 997-9315
Phone(267) 254-6884
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1710596549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
7552 FRANKFORD AVE, Philadelphia, PA 19136
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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 (PECOS)

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

PECOS PAC ID4284170317
PECOS Enrollment IDI20260527000638
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 Kellie Smith's NPI number?

The NPI number for Kellie Smith is 1710596549. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Kellie Smith located?

Kellie Smith practices at 7552 Frankford Ave, Philadelphia, PA 19136. The listed phone number is (267) 254-6884.

What is Kellie Smith's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kellie Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kellie Smith was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.