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Active NPI 1235683855 Individual Practitioner Female Practitioner

Kd Smith

Counselor • Centralia, IL

Professional Overview & Biography Verified Profile Summary

Kd Smith is a registered healthcare professional specializing in Counselor in Centralia, IL. Practice services are available at 904 EAST MARTIN LUTHER KING, DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

904 East Martin Luther King, Dr

Centralia, IL 62870

Telephone 6185331391
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Centralia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
93 Specialists

Practicing in Centralia, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370915481007 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Andrea Slater

Counselor

NPI 1003556424
Mary Gates-Gully , MS, CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013105295

Master of Science, Certified Alcohol and Drug Counselor

Lolita Isaiah

Counselor - Mental Health

NPI 1013378181
Steffany Slininger

Counselor - Mental Health

NPI 1013641711
Kelsey Dulle

Counselor

NPI 1023552551
NPI 1033406269

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2016

Registered at 904 EAST MARTIN LUTHER KING, DR, CENTRALIA, IL 62870 (Tel: 6185331391)

📍
Updated Business Mailing Address August 11, 2016

Registered at 904 EAST MARTIN LUTHER KING, DR, CENTRALIA, IL 62870 (Tel: 6185331391)

👤
Provider Name / Credentials Updated August 11, 2016

Recorded as KD SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Counselor

🟢
Initial NPI Registration & Enumeration August 11, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235683855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2016
Last Update: August 11, 2016
Sole Proprietor: No

Mailing Address

904 East Martin Luther King, Dr

Centralia, IL 62870

Phone: 6185331391

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.