Kelsey Smith, LPCC in Dayton, OH - Medicare Counselor Provider

Kelsey Smith, LPCC is a medicare enrolled "Counselor - Professional" provider in Dayton, Ohio. Her current practice location is 601 South Edwin C Moses Blvd, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 734-8333.

Kelsey Smith is licensed to practice in Ohio (license number E.2102175) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609395953.

Contact Information

	Kelsey Smith, LPCC
	601 South Edwin C Moses Blvd, Dayton, OH 45417-3424
	(937) 734-8333
	(937) 734-4343

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Smith
Gender	Female
Speciality	Counselor - Professional
Location	601 South Edwin C Moses Blvd, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609395953
Provider Enumeration Date: 09/18/2017
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3678917341
Enrollment ID: I20240221001842

Medical Identifiers

Medical identifiers for Kelsey Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609395953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C.1700782 (Ohio)	Secondary
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	E.2102175 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Smith allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Behavioral Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205888641 PECOS PAC ID: 0244148625 Enrollment ID: O20101007000860

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelsey Smith, LPCC 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 Ph: (937) 734-8333	Kelsey Smith, LPCC 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 Ph: (937) 734-8333

Reviews and Comments

Counselor in Dayton, OH

Jane M Winch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, Fourth Floor Nw Building, Dayton, OH 45408 Phone: 937-276-8333 Fax: 937-276-8339
Mrs. Darcie Rupert Clark, MS, LPCC, LCDCIII Counselor Medicare: Medicare Enrolled Practice Location: 11 W Monument Ave Ste 100, Dayton, OH 45402 Phone: 937-679-6301 Fax: 937-630-4391
Amy Michelle Monteith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046
Ashley H Hicks, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, 4th Floor, Nw Bldg., Dayton, OH 45417 Phone: 937-734-8333 Fax: 937-276-8269
Shea Kvachuk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Woodman Dr Ste 330, Dayton, OH 45432 Phone: 937-253-0606
Quanice Locke, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4977 Northcutt Pl, Dayton, OH 45414 Phone: 937-450-7790
Sarah Byram, LPC Counselor Medicare: Medicare Enrolled Practice Location: 601 S Edwin C Moses Blvd, 4th Floor Nw Building, Dayton, OH 45417 Phone: 937-734-8333

Kelsey Smith, LPCC - Medicare Counselor in Dayton, OH