Individual provider Active NPI

Aaron Smith, PH.D.

  • Clinical Psychologist
  • Ashland, KY
National Provider Identifier
1780099481
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
239714 Issued in KY
Practice address
3701 Landsdowne Dr
Ashland, KY 41102-5422
Phone
(606) 324-3005
Fax
(606) 329-8195
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 239714 KY Primary

Addresses

Primary practice location

3701 Landsdowne Dr
Ashland, KY 41102-5422

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588

Other practice location 1

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (574) 546-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20190201002057 KY Practitioner - Clinical Psychologist 9739426438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians

Practice addresses (Care Compare)

3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
239714KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC Clinical CurrentSince Feb 15, 2020 Accepting new patients
Pathways, Inc CurrentSince Dec 22, 2018 Accepting new patients
Pathways Inc CurrentSince Dec 22, 2018 Accepting new patients
Telos Health Systems Ky LLC Clinical CurrentSince Nov 19, 2024 Accepting new patients

Locations

7341 E Alexandria Pike
Alexandria, KY 41001
Phone (859) 283-8600

3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005

201 22nd St
Ashland, KY 41101
Phone (606) 324-1141

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

200 Glenway Rd
Winchester, KY 40391
Phone (859) 556-0620

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1780099481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LANDSDOWNE DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411025422",
            "telephone_number": "606-324-3005",
            "fax_number": "606-329-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "574-546-9000",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AARON",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "239714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.