KEVIN SMERKO – Mental Health Counselor, NPI 1255814620

KEVIN SMERKO is a healthcare provider. based in Rockford, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 178008791 (). The NPI Number for KEVIN SMERKO is 1255814620

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN SMERKO
NPI
1255814620
Phone
Not provided
Address
1021 N MULFORD RD
Enumeration Date
12 September 2018
Last Update Date
12 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477830307
Graduation Year
2012 (14 years ago)
PAC ID
7012357932
Group Practice PAC ID
5193863587
Professional Enrollment ID
I20240425002157
Address ID
IL601239208EL2130XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for KEVIN SMERKO

  • 1021, North Mulford Road, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 611073877

    Phone:

    Type: Mailing

  • 2704, North Main Street, Ruby, Rockford, Winnebago County, Illinois, 61103, United States

    ROCKFORD, IL 611033112

    Phone: (815) 968-9300

    Fax: (815) 720-4950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240425002157IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193863587View full group profile
NameSpecialtyState
Physician AssistantFL
Clinical Social WorkerIL
P S Y C H I A T R YSC
Clinical Social WorkerIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is KEVIN SMERKO listed with a National Provider Identifier?
Yes — KEVIN SMERKO has NPI 1255814620 on file in the registry.
Is KEVIN SMERKO still an active registrant?
KEVIN SMERKO carries an active NPI according to the public dataset.
What expertise is attributed to KEVIN SMERKO?
KEVIN SMERKO's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN SMERKO?
Directory geography for KEVIN SMERKO centers on Rockford, Illinois.
Can I trust this NPI listing for KEVIN SMERKO?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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