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KERRY LYNN SMITH
NPI 1902108475
Counselor - Mental Health in Gainesville, FL

Active since December 03, 2010PECOS Enrolled
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600(352) 374-5608 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kerry Lynn Smith NPPES

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

KERRY LYNN SMITH (NPI 1902108475) is an individual mental health provider in Gainesville, Florida, licensed in Florida (MH12911) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902108475
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKERRY LYNN SMITH
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600 · Fax (352) 374-5608
Phone(352) 374-5600
Fax(352) 374-5608
Sole ProprietorNo
Enumeration DateDecember 3, 2010
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1902108475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH12911
Also ListedCounselorTaxonomy 101Y00000X
4300 SW 13TH ST, Gainesville, FL 32608
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Lynn Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kerry Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meridian Behavioral Healthcare, Inc.
Same address
Community/Behavioral Health
4300 SW 13TH ST
Gainesville, FL 32608
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
NPI 1134287154 (352) 374-5600
Brave Health Inc.
294 mi
Community/Behavioral Health
1951 NW 7TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1821588674 (305) 930-8939

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 20

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

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

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 Kerry Smith's NPI number?

The NPI number for Kerry Smith is 1902108475. It was assigned to this individual provider in the NPPES registry on December 3, 2010.

Where is Kerry Smith located?

Kerry Smith practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Kerry Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kerry Smith enrolled in Medicare?

Yes. Kerry Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerry Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Smith reassigns Medicare benefits to 2 organizations: Meridian Behavioral Healthcare, Inc. (Gainesville, FL) and Brave Health Inc. (Miami, FL). Each 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 Kerry Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerry Smith was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.