Active NPI
Kayla Elyse Smith
- Professional Counselor
- Middletown, OH
National Provider Identifier
1972168433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 601 N Breiel Blvd Unit B
Middletown, OH 45042-3899 - Phone
- (513) 454-1111
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
601 N Breiel Blvd Unit B
Middletown, OH 45042-3899
Mailing address
PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0403057 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260217001991 | OH | Practitioner - Mental Health Counselor | 4587144787 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Viaquest Psychiatric and Behavioral Solutions LLC
Practice addresses (Care Compare)
525 Metro PL N
Suite 300
Dublin, OH 43017-5320
Phone (855) 289-1722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viaquest Psychiatric & Behavioral Solutions LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Viaquest Psychiatric & Behavioral Solutions LLC | Current | Accepting new patients | |
| Butler County Community Health Consortium, Inc. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
525 Metro Pl N
Ste 300
Dublin, OH 43017
Phone (614) 336-9600
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.
-
- Community/Behavioral Health Agency
- Dublin, OH
- NPI 1942451216
OH
-
- Case Manager/Care Coordinator
- Dublin, OH
- NPI 1386155711
-
- Federally Qualified Health Center (FQHC)
- Middletown, OH
- NPI 1700821386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1972168433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 837",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450120837",
"telephone_number": "513-454-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N BREIEL BLVD UNIT B",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423899",
"telephone_number": "513-454-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAYLA",
"middle_name": "ELYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0403057",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.