Kelly M Smith, M.ED, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15238 Issued in TX

Practice address

2227 Country Club Rd
Palestine, TX 75803-8337

Phone

(903) 724-3860

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

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

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1689269466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 COUNTRY CLUB RD",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038337",
            "telephone_number": "903-724-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 COUNTRY CLUB RD",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038337",
            "telephone_number": "903-724-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "M.ED, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adalid Sis, LPC
• Christina Slate, PHARM D
• Kelley Elizabeth Slate, FNP-C
• Jaime Renea Sleziak, FNP
• Adrianne Patrice Smith, MD
• Michael Smith, D.O.
• Sharon Renee Smith
• Ashlee Snell, FNP
• Tanya M Solis, MD
• Salvador Omar Soto, SLP ASSISTANT

• Professional Counselor in Palestine, TX
• Providers in Palestine, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.