Mrs. Kim Marie Smith is a Fort Wayne, Indiana based counselor with 45 years of experience in Mental Health Counselor. She completed her graduation from Other in 1980. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Her current practice location is 3266 Mallard Cove Ln, Fort Wayne. Patients can book an appointment with her at 260-436-5986.
Mrs. Kim Marie Smith is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mrs. Kim Marie Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Kim Marie Smith
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LCSW, LMFT
Experience:
45+ years
Medical School Attended:
Other
Graduation Year:
1980
Accepts Medicare Assignment:
Yes
Practice Address:
3266 Mallard Cove Ln, Fort Wayne, Indiana, 46804-2883
Phone:
260-436-5986
Fax:
260-436-1859
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4284895533
Enrollment ID:
I20120412000437
NPI Number:
1558493056
NPI Enumeration Date:
10 Mar, 2007
NPI Last Update On:
26 Feb, 2025
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mrs. Kim Marie Smith is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Burry And Smith Counseling Services Inc (4688834328)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kim Marie Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
064061000
Other
MAGELLAN
090831
Other
MHN
000000200512
Other
Indiana
ANTHEM BLUE CROSS BLUE SH
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3266 Mallard Cove Ln, Fort Wayne, Indiana
Zip:
46804-2883
Phone Number:
260-436-5986
Fax Number:
260-436-1859
Patients can reach Mrs. Kim Marie Smith at 3266 Mallard Cove Ln, Fort Wayne, Indiana or can call to book an appointment on 260-436-5986. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.