Kaytlyn Marie Ford Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77661 Issued in TX

Practice address

1919 NW Loop 410 Ste 201
San Antonio, TX 78213-2307

Phone

(832) 768-5187

NPI assigned

Oct 25, 2018

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

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Medicare reassignment Care Compare group NPD
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442
  NPD
• Alaska Psychiatric Solutions LLC

  • Psychiatry Physician
  • Juneau, AK
  • NPI 1306521315
  NPD (past)
• Respro Sleep

  • Sleep Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1013752310
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1447727680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 DERBY VIS",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543943",
            "telephone_number": "832-768-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NW LOOP 410 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132307",
            "telephone_number": "832-768-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD SMITH",
        "first_name": "KAYTLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny R Forbes, MA, LPC
• William Forbes
• Christopher Ryan Force, M.D.
• Kim Forcier, M.S., L.P.C.
• George Almond Ford III, M.D.F.A.C.P.
• Ford-Goodson Enterprises
• Ford-Goodson Enterprises Inc
• Phelicia Nichole Ford-Ross, APRN, FNP-C
• Alitza K Ford, PA-C
• Carey Neal Ford, RPH

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.