Kimberly Ann Smitley, M.ED, NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A9068 Issued in NC

Practice address

3801 Lake Boone TRL
Raleigh, NC 27607-2934

Phone

(919) 865-8850

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Ann Presutti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1609208875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BRIGHTON RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101606",
            "telephone_number": "919-604-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276072934",
            "telephone_number": "919-865-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.ED, NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PRESUTTI",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.ED, NCC, LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mia Jo Smithley, LCASA
• Britney Kline Smithmyer, PA-C
• Smiths Clinical Counseling PLLC
• Anne Johnson Smithson, M.D.
• Robert Hamilton Smithson Sr., MD
• Sean Winston Smolenyak, OD
• David L Smoot, PH.D.
• Kenneth A Smoot
• Kathleen Macklin Smothers
• Tria Smothers, LCMHC-A

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.