KAITLYN SMITH RSA
NPI 1750047189
Counselor - Mental Health in Pontiac, IL

Active since November 10, 2021
920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109(815) 844-3561 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Smith Rsa NPPES

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

KAITLYN SMITH RSA (NPI 1750047189) is an individual mental health provider in Pontiac, Illinois and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1750047189
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN SMITHCredential: RSA
Location Address920 W CUSTER AVEPontiac, IL 61764-1067
Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109 · Fax (815) 844-3561
Fax(815) 844-3561
Sole ProprietorNo
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1750047189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
920 W CUSTER AVE, Pontiac, IL 61764

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Addiction (Substance Use Disorder))
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Speech-Language Pathologist
920 W CUSTER AVE
PONTIAC, IL 61764

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 Kaitlyn Smith's NPI number?

The NPI number for Kaitlyn Smith is 1750047189. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Kaitlyn Smith located?

Kaitlyn Smith practices at 920 W Custer Ave, Pontiac, IL 61764. The listed phone number is (815) 844-6109.

What is Kaitlyn Smith'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 Kaitlyn Smith was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.