KAREN NEKOLNY-SMITH (PSY. D.) – Clinical Psychologist, NPI 1760542484

KAREN NEKOLNY-SMITH (PSY. D.) is a healthcare provider. based in Countryside, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. 071-005093 (IL). The NPI Number for KAREN NEKOLNY-SMITH (PSY. D.) is 1760542484

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
KAREN NEKOLNY-SMITH (PSY. D.)
NPI
1760542484
Phone
(708) 215-8400
Address
6502 JOLIET RD STE 201
Enumeration Date
11 December 2006
Last Update Date
29 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
6800065418
Group Practice PAC ID
6507762580
Professional Enrollment ID
I20110815000939
Address ID
IL604332569JO421XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for KAREN NEKOLNY-SMITH (PSY. D.)

  • Joliet Road, Countryside, Lyons Township, Cook County, Illinois, 60525, United States

    COUNTRYSIDE, IL 605254682

    Phone: (708) 215-8400

    Fax: (708) 215-8410

    Mailing address matches the actual address.

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: 2011-08-15

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
I20110815000939IClinical PsychologistILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes59037$0
90834Psychotherapy, 45 minutes39731$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 60525)

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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: 6507762580View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistIL
-IL

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Frequently asked questions

What federal number belongs to KAREN NEKOLNY-SMITH (PSY. D.)?
The federal identifier for KAREN NEKOLNY-SMITH (PSY. D.) is NPI 1760542484.
Is KAREN NEKOLNY-SMITH (PSY. D.)'s NPI currently valid?
The extract we use shows KAREN NEKOLNY-SMITH (PSY. D.) as active.
Does KAREN NEKOLNY-SMITH (PSY. D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for KAREN NEKOLNY-SMITH (PSY. D.). Clinical services aligned with this taxonomy classification.
Does KAREN NEKOLNY-SMITH (PSY. D.) practice in Illinois?
You will see Countryside, Illinois on file for KAREN NEKOLNY-SMITH (PSY. D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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