Kimberly Marie Smith, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4294 Issued in MD

Practice address

8830 Cameron St
Suite 403
Silver Spring, MD 20910-4114

Phone

(301) 538-3762

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By 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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1700144169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 CAMERON ST",
            "address_2": "SUITE 403",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104114",
            "telephone_number": "301-538-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 CAMERON ST",
            "address_2": "SUITE 403",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104114",
            "telephone_number": "301-538-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Marie Smith, LMSW
• Judith Ann Smith, PSY.D.
• Kathleen A Smith, LGMFT
• Kathleen Joan Smith, M.S.W.
• Kayla Krashell Smith, RD
• Kya Lashey Smith
• Lashae Smith
• Leslie Fraser Smith, M.S.W.
• Lillian Xiaomei Smith
• Marcia Smith, PH.D. PSYCHOLOGIST

• Counseling Psychologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Counseling Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.