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

Mr. Kenneth Ray Smith, Jr, MDIV, MA

Individual provider Mental Health Counselor · NPI 1710054028

Mr. Kenneth Ray Smith, Jr, MDIV, MA is a Mental Health Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

2012 NE 65th St
Seattle, WA 98115-6934
Phone: (206) 523-3202
Fax: (206) 367-0919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LF00001684 (WA)

Record details

NPI number1710054028
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV , MA
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESAugust 9, 2026

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