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KELLEY JENEAN SMITH
NPI 1912477647
Counselor in Washington, DC

Active since November 26, 2018PECOS Enrolled
MINNESOTA AVENUE, 3946 MINNESOTA AVENUE NE, WASHINGTON, DC 20019(202) 398-8683(202) 548-8600 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Sep 7, 2021, Nov 26, 2018 (3 updates tracked since 2018).

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.

NPPES Registry Identity

NPI1912477647
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLEY JENEAN SMITH
Location AddressMINNESOTA AVENUE, 3946 MINNESOTA AVENUE NEWashington, DC 20019-6044
Mailing AddressMinnesota Avenue, 3946 Minnesota Avenue NeWashington, DC 20019-6044 · (202) 398-8683 · Fax (202) 548-8600
Phone(202) 398-8683
Fax(202) 548-8600
Sole ProprietorYes
Enumeration DateNovember 26, 2018
Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1912477647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in DC · PRC14827
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701007939 (VA)
MINNESOTA AVENUE, Washington, DC 20019
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Jenean 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.

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.

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.