Individual provider Active NPI

Mary Kylee Smith, MA ATR-BC

  • Art Therapist
  • Doylestown, PA
National Provider Identifier
1841047669
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
19-505 Issued in PA
Practice address
252 W Swamp Rd Ste 36
Doylestown, PA 18901-2465
Phone
(267) 454-2028
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Art Therapist 221700000X 19-505 PA Primary

Addresses

Primary practice location

252 W Swamp Rd Ste 36
Doylestown, PA 18901-2465

Mailing address

738 Bristol Pike # B
Bensalem, PA 19020-6321
Phone (609) 475-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240903000586 PA Practitioner - Mental Health Counselor 6709325996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drexel University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doylestown Counseling AssociatesGroup PAC ID 2668914912, 8 clinicians

Practice addresses (Care Compare)

252 W Swamp Rd
Suite 36
Doylestown, PA 18901-2465
Phone (267) 454-2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19-505PAMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Based Change, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

252 W Swamp Rd
Ste 36
Doylestown, PA 18901
Phone (215) 313-7278

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1841047669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 BRISTOL PIKE # B",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206321",
            "telephone_number": "609-475-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W SWAMP RD STE 36",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012465",
            "telephone_number": "267-454-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "KYLEE",
        "credential": "MA ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "PA",
            "license": "19-505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.