Active NPI
Karen Renee Smigelski, MA, LPC, CAADC
- Professional Counselor
- Lake Orion, MI
National Provider Identifier
1033415245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009232 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Lake Orion, MI
- NPI 1730484965
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.