Individual provider Active NPI

Mitchell L Smith, LLPC

  • Mental Health Counselor
  • Okemos, MI
National Provider Identifier
1053946178
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401224014 Issued in MI
Practice address
3899 Okemos Rd Ste A1
Okemos, MI 48864-3666
Phone
(517) 507-5892
NPI assigned
Mar 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401224014 MI Primary

Addresses

Primary practice location

3899 Okemos Rd Ste A1
Okemos, MI 48864-3666

Mailing address

1255 Ives Rd
Mason, MI 48854-9236
Phone (517) 648-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240302000466 MI Practitioner - Mental Health Counselor 6608211479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Forest Counseling LLPGroup PAC ID 4183043698, 15 clinicians

Practice addresses (Care Compare)

3970 Heritage Ave
Okemos, MI 48864-3344
Phone (517) 258-2951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Forest Counseling LLP Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Inclusive Wellness LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

3970 Heritage Ave
Okemos, MI 48864
Phone (517) 258-2951

3899 Okemos Rd
Ste A1
Okemos, MI 48864
Phone (517) 395-2260

Organizations & group practices 2

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1053946178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 IVES RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549236",
            "telephone_number": "517-648-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 OKEMOS RD STE A1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643666",
            "telephone_number": "517-507-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MITCHELL",
        "middle_name": "L",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.