Kimber Lee Smith, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4665 Issued in MT

Practice address

209 N 10TH St
Suite a
Hamilton, MT 59840-2357

Phone

(406) 532-9101

Fax

(406) 363-4498

NPI assigned

Sep 4, 2013

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

Other names 1

• Kimber Peters Former name

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.

Opted out of Medicare

Yes, effective May 1, 2024 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328

  Professional

  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1699100040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047220",
            "telephone_number": "406-532-8400",
            "fax_number": "406-543-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402357",
            "telephone_number": "406-532-9101",
            "fax_number": "406-363-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "PETERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sirena Rising Recovery and Wellness LLC
• Aleta L. Sisson, LCPC
• Nicole Sisson, PTA
• Gary L Smith, M.D.
• Holly Joyce Lynn Smith, OTR/L
• Robert W Smith, M.D.
• Shannon S. Smith, LCSW
• Christy Snavely
• Amanda K Springer, MA, LCPC
• Kim Squires, NP

• Professional Counselor in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.