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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: September 27, 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
Phone(704) 995-0342
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1300 BAXTER ST STE 421, Charlotte, NC 28204
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

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

MRS. NANCY ELIZABETH BEARD HARVEY
Counselor (Professional)
1300 BAXTER ST STE 421
CHARLOTTE, NC 28204
Mecklenburg County (704) 995-0342

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 Kenyah Mickens-smith's NPI number?

The NPI number for Kenyah Mickens-smith is 1831706704. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Kenyah Mickens-smith located?

Kenyah Mickens-smith practices at 1300 Baxter St Ste 421, Charlotte, NC 28204. The listed phone number is (704) 995-0342.

What is Kenyah Mickens-smith's specialty?

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

Is Kenyah Mickens-smith enrolled in Medicare?

Yes. Kenyah Mickens-smith is registered in the Medicare PECOS enrollment system.

What insurance does Kenyah Mickens-smith accept?

Health plans from Blue Cross and Blue Shield of NC list Kenyah Mickens-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 Kenyah Mickens-smith was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.