Kathleen Marian Smith, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2505099 Issued in OH

Practice address

8039 Broadmoor Rd Ste 12
Mentor, OH 44060-7577

Phone

(440) 525-2342

Fax

(440) 207-9129

NPI assigned

Jun 8, 2021

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 OH

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, 2021

Medicare assignment

May accept Medicare assignment

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.

• Radiance Counseling LLC

  • Professional Counselor
  • Mentor, OH
  • NPI 1518858083
  Medicare reassignment NPD
• Hillary Schultz Therapy

  • Professional Counselor
  • Beachwood, OH
  • NPI 1013430826

  Mental Health

  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1659948669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 BROADMOOR RD STE 12",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607577",
            "telephone_number": "440-525-2342",
            "fax_number": "440-207-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 BROADMOOR RD STE 12",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607577",
            "telephone_number": "440-525-2342",
            "fax_number": "440-207-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "MARIAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominicque Smith, RN
• Evelyn Smith, QMHS
• Jessica L Smith, MA
• Jordan Smith, PA-C
• Justin James Smith, RPH
• Madaline Smith
• Olivia Smith
• Patricia Ann Smith, LISW -S
• Scott Michael Smith
• Sherise Smith

• Professional Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.