Active NPI
Ken D Smith, M.A., LCMHC, LADC
- Addiction (Substance Use Disorder) Counselor
- Brandon, VT
National Provider Identifier
1841311248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000401
- Practice address
- 3 Union St
Brandon, VT 05733-1127 - Phone
- (802) 247-3136
- NPI assigned
- Apr 3, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000401 | VT | Primary |
| Mental Health Counselor | 101YM0800X | 0680000419 | VT |
Addresses
Primary practice location
3 Union St
Brandon, VT 05733-1127
Mailing address
3 Union St
Brandon, VT 05733-1127
Phone (802) 247-3136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007742 | Medicaid | VT | |
| 49976 | Other | VT | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Mar 13, 2024 through Mar 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000401 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 0680000419 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1841311248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 UNION ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057331127",
"telephone_number": "802-247-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 UNION ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057331127",
"telephone_number": "802-247-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KEN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.A., LCMHC, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000401",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "0680000419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007742",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "49976",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.