Individual provider Active NPI

Kris Bryan Smetak, LCMHC

  • Professional Counselor
  • Belmont, NC
National Provider Identifier
1326101429
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5347 Issued in NC
Practice address
100 Glenway St Ste F
Belmont, NC 28012-3174
Phone
(704) 674-7290
Fax
(704) 461-8989
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5347 NC
School Counselor 101YS0200X 5347 NC
Professional Counselor 101YP2500X 5347 NC Primary

Addresses

Primary practice location

100 Glenway St Ste F
Belmont, NC 28012-3174

Mailing address

100 Glenway St Ste F
Belmont, NC 28012-3174
Phone (704) 674-7290

Other identifiers 4

IdentifierTypeStateIssuer
1326101429MedicaidNC
8300014MedicaidNC
6005887MedicaidNC
6103254MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 19, 2026 through May 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5347NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Wellness Solutions Counseling and Consulting PLLC Professional CurrentSince Jun 3, 2025 Accepting new patients

Locations

100 Glenway St
Ste F
Belmont, NC 28012
Phone (704) 648-3420

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1326101429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENWAY ST STE F",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123174",
            "telephone_number": "704-674-7290",
            "fax_number": "704-461-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENWAY ST STE F",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123174",
            "telephone_number": "704-674-7290",
            "fax_number": "704-461-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETAK",
        "first_name": "KRIS",
        "middle_name": "BRYAN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5347",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "5347",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326101429",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300014",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005887",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.