Kimberly Smith, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

260604 Issued in KY

Practice address

1550 Highway 15 S Ste 200
Jackson, KY 41339-0714

Phone

(606) 666-5696

Fax

(606) 666-8414

NPI assigned

Apr 20, 2015

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)

Not 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.

• The Recovery Center, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, KY
  • NPI 1316332067
  NPD

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1497142186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 15 S STE 200",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413390714",
            "telephone_number": "606-666-5696",
            "fax_number": "606-666-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 15 S STE 200",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413390714",
            "telephone_number": "606-666-5696",
            "fax_number": "606-666-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Rockwood Ln",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019415",
            "country_code": "US",
            "telephone_number": "606-436-5761",
            "fax_number": "606-436-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "260604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Sallee, LCSW
• Frank Wayne Sizemore, MS CCC-SLP
• Alan K Sloas, APRN
• Alicia Smith
• Crystal Smith
• Patricia Smith
• Paul E Smith III, DO
• Rebecca K Smith, LCSW
• Tracey Smith, CADC,LPCC
• Travis Charles Smith

• Counselor in Jackson, KY
• Providers in Jackson, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.