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Kindred Elizabeth Smith , LPC

Counselor - Professional β€’ Canton, GA

Active NPI 1760283337 Individual Practitioner Female Practitioner
Practice location in NPPES

203 Oakside Ln Ste F
Canton, GA 301146407

Call 4703816633 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

203 Oakside Ln Ste F

Canton, GA 301146407

Telephone 4703816633
Organization at the Same NPPES Address or Phone
Pacific Coast Psychiatric Associates Inc Facility NPI 1023125465

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dunwoody, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Kindred Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Canton and Georgia

51 active clinicians are listed under Counselor - Professional with a practice address in Canton, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

7.8% of these 51 clinicians have the CMS telehealth indicator.

19.6% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC016925
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES GA APC009569
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

41 Perimeter Ctr E Ste 250

Dunwoody, GA 303461902

Phone: 7708713785

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 16, 2026

Registered at 203 OAKSIDE LN STE F, CANTON, GA 301146407 (Tel: 4703816633)

πŸ“
Updated Business Mailing Address July 16, 2026

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

πŸ‘€
Provider Name / Credentials Updated July 06, 2026

Recorded as KINDRED SMITH, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Counselor (license number reported to NPPES: GA LPC016925)

βœ…
NPI Profile Active March 20, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2025

Registered at 41 PERIMETER CTR E STE 250, DUNWOODY, GA 303461902 (Tel: 7708713785)

πŸ“
Business Mailing Address (Initial Record) March 20, 2025

Registered at 1295 BANDANA BLVD W, STE 210, ST. PAUL, MN 55108

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2025

Recorded as KINDRED SMITH, APC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Counselor (license number reported to NPPES: GA APC009569)

🟒
Initial NPI Registration & Enumeration March 20, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760283337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2025
Last Update: July 16, 2026
Sole Proprietor: No

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.