Active NPI
Stephanie Smith, LPC
- Professional Counselor
- Flint, MI
National Provider Identifier
1063818698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 420 W 5TH Ave
Flint, MI 48503-2445 - Phone
- (810) 257-3705
- NPI assigned
- Nov 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 6401011314 | MI | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
420 W 5TH Ave
Flint, MI 48503-2445
Mailing address
2324 S Duncan Rd
Midland, MI 48640-9330
Phone (989) 859-7072
Other practice location 1
2324 S Duncan Rd
Midland, MI 48640-9330
Phone (989) 859-7072
Other names 1
- Stephanie Schwanda
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011314 | MI | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discreet Online Counseling | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Discreet Online Counseling | Current | Accepting new patients | |
| Genesee Health System | Past | Accepting new patients |
Interoperability endpoints
- stephaniesmith@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midland, MI
- NPI 1265004113
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midland, MI
- NPI 1336815604
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1063818698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 S DUNCAN RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486409330",
"telephone_number": "989-859-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W 5TH AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485032445",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [
{
"address_1": "2324 S Duncan Rd",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486409330",
"country_code": "US",
"telephone_number": "989-859-7072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "6401011314",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "SCHWANDA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.