Kesha Smotherman, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3349 Issued in TN

Practice address

1090 Old Florence Rd
Lawrenceburg, TN 38464-8401

Phone

(931) 762-6505

Fax

(931) 762-3690

NPI assigned

Jul 3, 2018

Last updated

Oct 3, 2018By the provider in NPPES

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

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.

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Voyage Wellness LLC

  • Professional Counselor
  • Pulaski, TN
  • NPI 1154249779
  NPD Authorized official

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1659867570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384648401",
            "telephone_number": "931-762-6505",
            "fax_number": "931-762-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384648401",
            "telephone_number": "931-762-6505",
            "fax_number": "931-762-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Murfreesboro Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370641318",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 S Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "TN",
            "postal_code": "384852629",
            "country_code": "US",
            "telephone_number": "931-762-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOTHERMAN",
        "first_name": "KESHA",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith, OTR/L
• Lori Charlene Smith, B.S.
• Samuel Ford Smith, PHARMD
• Sara Smith, NP-C
• Shavavian Smith
• Tim Harwell Solomon, BS
• Southern Comfort-Primary and Chronic Care Management
• Southern Tennessee Anesthesia Associates
• Southern Tennessee Applied Behavior Analysis LLC
• Hannah Spears, OTR/L

• Professional Counselor in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.