KELLEY JENEAN SMITH NPI 1912477647

NPI Information

  • NPI: 1912477647
  • Provider Name: KELLEY JENEAN SMITH
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: MINNESOTA AVENUE
    3946 MINNESOTA AVENUE NE
    WASHINGTON, DC
    ZIP 20019
  • Phone: (202) 398-8683

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NPI Details

Kelley Jenean Smith is a counselor in Washington, DC with 12 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kelley Jenean Smith NPI is 1912477647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MINNESOTA AVENUE
3946 MINNESOTA AVENUE NE
WASHINGTON, DC
ZIP 20019-044
Phone: (202) 398-8683
Fax: (202) 548-8600

The NPI 1912477647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/26/2018 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0701007939VIRGINIANo
2101Y00000XCounselorPRC14827DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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