Keeli Donyae Smith, MS

Individual provider Active NPI Mental Health Counselor · Macon, MS

NPI 1033038633 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1033038633
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
43 MLK Dr
Macon, MS 39341-2734
Phone
(662) 726-5042
NPI assigned
Jul 15, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Region Seven Mental Health Idd Commission Mental Health Past
since Aug 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MS Yes

Addresses

Primary practice location

43 MLK Dr
Macon, MS 39341-2734

Mailing address

43 MLK Dr
Macon, MS 39341-2734

Other providers in Macon, MS

All providers in Macon, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.