Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlyn Smith

Individual provider Professional Counselor · NPI 1053812859

Kaitlyn Smith is a Mental Health Counselor in Starkville, Mississippi. Qualified in 2022, 4 years ago. Practices with Starkville Wellness Group, an 8-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2018
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Practice location Address checks out

1085 Stark Rd # Suietf
Starkville, MS 39759-3682
Phone: (662) 601-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P-0930 (MS)

Record details

NPI number1053812859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address1085 Stark Rd # Suietf, Starkville, MS 39759-3682

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Starkville Wellness Group — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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