Shannon Tennille Smith, MED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

KY-0561 Issued in KY

Practice address

3540 S Highway 27 Ste 4
Somerset, KY 42501-3124

Phone

(606) 679-1815

Fax

(606) 451-1631

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Specialized Alternative for Families and Youth of Kentucky, Inc.

  dba Safy of Kentucky - Lexington

  • Case Management Agency
  • Lexington, KY
  • NPI 1265508485
  NPD (past)
• Specialized Alternatives for Families and Youth of Kentucky - Somerset

  dba Safy of Kentucky - Somerset

  • Case Management Agency
  • Somerset, KY
  • NPI 1083988919
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1396156915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S HIGHWAY 27 STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013124",
            "telephone_number": "606-679-1815",
            "fax_number": "606-451-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S HIGHWAY 27 STE 4",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013124",
            "telephone_number": "606-679-1815",
            "fax_number": "606-451-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "TENNILLE",
        "credential": "MED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-0561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Smith
• Justin L. Smith, MA, LPCC
• Kelsey Smith
• Laura Smith
• Matthew Smith
• Stephanie T Smith, LPN
• Tammy Smith
• SNH Derby Tenant LLC (The Neighborhood of Somerset)
• Somerset Cardiology
• Somerset Cardiology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.