Active NPI
Kimberly Jo Smith, ADC
- Addiction (Substance Use Disorder) Counselor
- West Columbia, SC
National Provider Identifier
1548890981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ADC-2309
- Practice address
- 185 Lott CT
West Columbia, SC 29169-3051 - Phone
- (803) 719-4050
- Fax
- (803) 719-4054
- NPI assigned
- Jan 24, 2020
- Last updated
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADC-2309 | SC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1327 | NE |
Addresses
Primary practice location
185 Lott CT
West Columbia, SC 29169-3051
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (866) 510-4357
Other names 1
- Kimberly Jo Montgomery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADC-2309 | SC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumter Treatment Specialists LLC | Past | Accepting new patients | |
| Friendship House, Inc. | Past | Accepting new patients | |
| Lexington Treatment Specialists LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Methadone Clinic
- West Columbia, SC
- NPI 1891270872
-
- Methadone Clinic
- Sumter, SC
- NPI 1831730928
-
- Community/Behavioral Health Agency
- Grand Island, NE
- NPI 1881816114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1548890981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "866-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 LOTT CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693051",
"telephone_number": "803-719-4050",
"fax_number": "803-719-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "JO",
"credential": "ADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "ADC-2309",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1327",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "MONTGOMERY",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.