Individual provider Active NPI

Karen Renee Smigelski, MA, LPC, CAADC

  • Professional Counselor
  • Lake Orion, MI
National Provider Identifier
1033415245
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009232 Issued in MI
Practice address
81 Indianwood Rd
Lake Orion, MI 48362-1595
Phone
(248) 894-4911
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009232 MI Primary

Addresses

Primary practice location

81 Indianwood Rd
Lake Orion, MI 48362-1595

Mailing address

PO Box 311
Lake Orion, MI 48361-0311
Phone (248) 894-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401009232MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willows Edge LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1033415245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483610311",
            "telephone_number": "248-894-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 INDIANWOOD RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621595",
            "telephone_number": "248-894-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIGELSKI",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.