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MR. KEN D SMITH M.A., LCMHC, LADC
NPI 1841311248
Counselor - Addiction (Substance Use Disorder) in Brandon, VT

Active since April 03, 2007Opted out of Medicare · through Mar 13, 2028

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ken D Smith M.a., Lcmhc, Ladc NPPES

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

MR. KEN D SMITH M.A., LCMHC, LADC (NPI 1841311248) is an individual addiction (substance use disorder) provider in Brandon, Vermont, licensed in Vermont (000401) and active in the NPI registry since April 2007. He has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1841311248
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEN D SMITHCredential: M.A., LCMHC, LADC
Location Address3 UNION STBrandon, VT 05733-1127
Mailing Address3 Union StBrandon, VT 05733-1127 · (802) 247-3136
Phone(802) 247-3136
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1841311248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VT · 000401
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0680000419 (VT)

Other Identifiers 2

Medicaid1007742VT
Other49976VT · Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Ken D Smith M.a., Lcmhc, Ladc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024
Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MS. KATE SCHIRMER-SMITH MS
Counselor (Mental Health)
3 UNION ST
BRANDON, VT 05733
Rutland County (802) 247-3136
WINTERGREEN RESIDENTIAL CARE, LLC
Respite Care
3 UNION ST
BRANDON, VT 05733
Rutland County (802) 465-4101

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 Ken Smith's NPI number?

The NPI number for Ken Smith is 1841311248. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Ken Smith located?

Ken Smith practices at 3 Union St, Brandon, VT 05733. The listed phone number is (802) 247-3136.

What is Ken Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Ken Smith enrolled in Medicare?

No. Ken Smith has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ken Smith was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.