KELLEY JENEAN SMITH
NPI 1912477647
Counselor in Washington, DC
About Kelley Jenean Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY JENEAN SMITH (NPI 1912477647) is an individual counselor in Washington, District Of Columbia, licensed in District Of Columbia (PRC14827) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfax.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley Jenean Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelley Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20009
- Reassigned Medicare billing, District of Columbia enrollment
- 343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kelley Smith's NPI number?
The NPI number for Kelley Smith is 1912477647. It was assigned to this individual provider in the NPPES registry on November 26, 2018.
Where is Kelley Smith located?
Kelley Smith practices at Minnesota Avenue 3946 Minnesota Avenue NE, Washington, DC 20019. The listed phone number is (202) 398-8683.
What is Kelley Smith's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Kelley Smith enrolled in Medicare?
Yes. Kelley Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelley Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Smith reassigns Medicare benefits to Unity Health Care, Inc. (Washington, DC). 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 Kelley 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 Kelley Smith was last updated on November 20, 2023. 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.
# Kelley Jenean Smith · NPI 1912477647
Counselor provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since November 26, 2018.
## Identity
- **NPI:** 1912477647 (Entity type: Individual)
- **Enumerated:** November 26, 2018
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** PRC14827 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** MINNESOTA AVENUE, 3946 MINNESOTA AVENUE NE, Washington, DC 20019-6044
- **Phone:** (202) 398-8683 · **Fax:** (202) 548-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Unity Health Care, Inc. (NPI 1093894172, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912477647) · Data from the CMS NPPES public registry.