MR. KEN D SMITH M.A., LCMHC, LADC
NPI 1841311248
Counselor - Addiction (Substance Use Disorder) in Brandon, VT
NPI Status: Active since April 03, 2007
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About KEN SMITH
This page provides the complete NPI Profile along with additional information for Ken Smith, a provider established in Brandon, Vermont with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1841311248 assigned on April 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 000401 (VT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1841311248
- Provider Name
- MR. KEN D SMITH M.A., LCMHC, LADC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3 UNION ST BRANDON, VT 05733
- Location Phone
- (802) 247-3136
- Mailing Address
- 3 UNION ST BRANDON, VT 05733
- Mailing Phone
- (802) 247-3136
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-03-2007
- Last Update Date
- 07-09-2007
- Code Navigator
A Substance Abuse or Addiction Counselor like Ken Smith advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ken Smith opted out of Medicare effective on 03-13-2024 until 03-13-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 000401
- License State
- VT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007742 | MEDICAID (05) | VT | |
| 49976 | OTHER (01) | VT | PROVIDER NUMBER |
Medicare Participation & PECOS Enrollment Status
Ken Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-13-2024
Opt-Out End Date: 03-13-2026
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MR. KEN D SMITH M.A., LCMHC, LADC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 3 | 1 | 1 | 2 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 6 | 1 | 2 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 6 + 1 + 2 + 2 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1841311248 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710047477 | MS. KATE SCHIRMER-SMITH MS Individual | Counselor (Mental Health) | 3 UNION ST BRANDON, VT 05733 (802) 247-3136 |
| 1023323037 | WINTERGREEN RESIDENTIAL CARE, LLC Organization | Respite Care | 3 UNION ST BRANDON, VT 05733 (802) 465-4101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841311248, enumerated in the NPI registry as an "individual" on April 03, 2007
The provider is located at 3 Union St Brandon, Vt 05733 and the phone number is (802) 247-3136
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on March 13, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 13, 2026.
This NPI record was last updated on April 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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