KENYAH MONET MICKENS-SMITH LMFT, LCAS
NPI 1831706704
Marriage & Family Therapist in Charlotte, NC

Active since September 25, 2020PECOS Enrolled
1300 BAXTER ST STE 421, CHARLOTTE, NC 28204(704) 995-0342(704) 943-0707 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2023, Sep 25, 2020 (2 updates tracked since 2020).

About Kenyah Monet Mickens-smith Lmft, Lcas NPPES

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

KENYAH MONET MICKENS-SMITH LMFT, LCAS (NPI 1831706704) is an individual marriage & family therapist in Charlotte, North Carolina, licensed in (2490) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831706704
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKENYAH MONET MICKENS-SMITHCredential: LMFT, LCAS
Location Address1300 BAXTER ST STE 421Charlotte, NC 28204-3026
Mailing Address7745 Ballantyne Commons Pkwy Ste 102Charlotte, NC 28277-5056 · (704) 995-0342 · Fax (704) 943-0707
Fax(704) 943-0707
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2020
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1831706704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed · 2490
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.

1300 BAXTER ST STE 421, Charlotte, NC 28204

Secondary Practice Location 1

Location 17745 Ballantyne Commons Pkwy Ste 102Charlotte, NC 28277-5056 · Phone (704) 995-0342 · Fax (704) 943-0707

Other Identifiers 1

Other2490NC · Lmft

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenyah Monet Mickens-smith Lmft, Lcas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971079963
PECOS Enrollment IDI20260417000143
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.

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.

Marriage & Family Therapist
1300 BAXTER ST STE 421
CHARLOTTE, NC 28204
Counselor (Professional)
1300 BAXTER ST STE 421
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831706704, enumerated as an "individual" on September 25, 2020.

The provider is located at 1300 BAXTER ST STE 421 CHARLOTTE, NC 28204 and the phone number is (704) 995-0342.

Marriage & Family Therapist with taxonomy code 106H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.