Individual provider Active NPI

Kevin Bruce Smith, LMFT

  • Marriage & Family Therapist
  • Lees Summit, MO
National Provider Identifier
1265072052
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2021016991 Issued in MO
Practice address
1535 NE Rice Rd
Lees Summit, MO 64086-5849
Phone
(816) 966-0900
Fax
(816) 347-3200
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 03149 KS
Marriage & Family Therapist 106H00000X 2021016991 MO Primary

Addresses

Primary practice location

1535 NE Rice Rd
Lees Summit, MO 64086-5849

Mailing address

1201 NE Moss Point Rd
Lees Summit, MO 64064-2427
Phone (816) 812-5380

Other practice location 1

1201 NE Moss Point Rd
Lees Summit, MO 64064-2427
Phone (816) 812-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403002492 MO Practitioner - Marriage and Family Therapist 8628543915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1555 NE Rice Rd
Lees Summit, MO 64086-5849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03149KSMDSocial Worker
2021016991MOMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Family Therapy LLC Marriage & Family Therapist CurrentSince Nov 20, 2022 Accepting new patients
Rediscover PastSince Mar 16, 2026 Accepting new patients
Rediscover PastSince Mar 16, 2026 Accepting new patients

Locations

12240 W 135th St
Overland Park, KS 66221
Phone (816) 812-5380

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1265072052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE MOSS POINT RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642427",
            "telephone_number": "816-812-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-966-0900",
            "fax_number": "816-347-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 NE Moss Point Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642427",
            "country_code": "US",
            "telephone_number": "816-812-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "03149",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2021016991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.