Kenneth Jay Smothers, M. Ed., L.P.C.
Counselor, Professional in Sealy, TX. Individual provider (NPI-1).
NPI number1114288461
StatusActive
Last updated in NPPESJun 4, 2012
Details
- NPI
- 1114288461
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth Jay Smothers
- Credential
- M. Ed., L.P.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2012
- Last updated
- Jun 4, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10616 | TX | Yes |
Practice location
330 Main StSuite 7
Sealy, TX 77474-2391
Phone 979-885-2900
Mailing address
123 Creek Bend LnColumbus, TX 78934-2052
Phone 979-885-2900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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