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

Q: 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.

Q: What is Kenyah Mickens-smith's specialty?

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

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: November 01, 2026.

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

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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 Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenyah Mickens-smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Achieve Balance, PLLC

11 mi

Marriage & Family Therapist

7745 BALLANTYNE COMMONS PKWY STE 102
Charlotte, NC 28277

Reassigned Medicare billing, North Carolina enrollment
11 clinicians in this Medicare group

NPI 1265934731 (704) 995-0342

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Kenyah Mickens-smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyah Mickens-smith reassigns Medicare benefits to Achieve Balance, PLLC (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenyah Mickens-smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenyah Mickens-smith accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare 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.