Peter Berk Smith, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

286984 Issued in KY

Practice address

332 15TH St
Ashland, KY 41101-7626

Phone

(606) 315-8822

NPI assigned

Apr 1, 2021

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Pathways Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1982615043
  Medicare reassignment NPD
• Counseling Off the Couch L.L.C.

  • Adult Mental Health Clinic/Center
  • Ashland, KY
  • NPI 1700661618
  NPD Authorized official
• Pathways, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1609260199
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1356929160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26922 STATE ROUTE 784",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411436565",
            "telephone_number": "606-315-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 15TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017626",
            "telephone_number": "606-315-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26922 State Route 784",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411436565",
            "country_code": "US",
            "telephone_number": "606-315-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "middle_name": "BERK",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "286984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Smith, LCSW
• Jeremiah Alan Smith, PHARMD
• Judith Paige Smith, OTR/L
• Kalyn Smith
• Kimberly Smith
• Sara Rose Smith
• Tiffany Smith
• Daffeny Sneed
• Socrates Maroudis OD PSC
• Jess Daniel Songer, DPM

• Professional Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.