Mr Kenneth Leroy Smith Sr, LPC014651 in Rome, GA

Mr Kenneth Leroy Smith Sr, LPC014651 is a medicare enrolled "Counselor - Mental Health" provider in Rome, Georgia. His current practice location is 332 Hasty Rd Ne, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 357-4921.

Mr Kenneth Leroy Smith Sr is licensed to practice in Georgia (license number LPC14651) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437905221.

Contact Information

	Mr Kenneth Leroy Smith Sr, LPC014651
	332 Hasty Rd Ne, Rome, GA 30161-7795
	(762) 357-4921
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth Leroy Smith Sr
Gender	Male
Speciality	Counselor - Mental Health
Location	332 Hasty Rd Ne, Rome, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437905221
Provider Enumeration Date: 04/24/2024
Last Update Date: 06/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0244773224
Enrollment ID: I20240618003850

Medical Identifiers

Medical identifiers for Mr Kenneth Leroy Smith Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437905221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC14651 (Georgia)	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. Mr Kenneth Leroy Smith Sr allows following entities to bill medicare on his behalf.

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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. Mr Kenneth Leroy Smith Sr 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
Mr Kenneth Leroy Smith Sr, LPC014651 1838 Redmond Cir Nw Ste E, Rome, GA 30165-1379 Ph: (706) 270-5022	Mr Kenneth Leroy Smith Sr, LPC014651 332 Hasty Rd Ne, Rome, GA 30161-7795 Ph: (762) 357-4921

Reviews and Comments

Counselor in Rome, GA

Mary Beth Housch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-506-6071
Kenneth Tyrone Jones Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Robin Hood Rd Ne, Rome, GA 30161 Phone: 706-409-3956
Greta Willoughby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Ridge Dr Sw, Rome, GA 30165 Phone: 706-506-1079 Fax: 706-233-8335
Carrie Marie Edge, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-413-2421
Kara Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Three Rivers Dr Ne, Rome, GA 30161 Phone: 706-622-3681
Marie Fraser, Counselor Medicare: Medicare Enrolled Practice Location: 14 Wagnon Ct Se, Rome, GA 30161 Phone: 770-853-3627
Mrs. Julie Oglesby Allen, MA, LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 S Broad St Sw Ste 5, Rome, GA 30161 Phone: 706-314-8696

Mr Kenneth Leroy Smith Sr, LPC014651 - Medicare Counselor in Rome, GA