Individual provider Active NPI

Michelle E Smith

  • Mental Health Counselor
  • Maple Heights, OH
National Provider Identifier
1093583478
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
20736 Donny Brook Rd
Maple Heights, OH 44137-3112
Phone
(216) 276-8643
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X OH Primary

Addresses

Primary practice location

20736 Donny Brook Rd
Maple Heights, OH 44137-3112

Mailing address

20736 Donny Brook Rd
Maple Heights, OH 44137-3112
Phone (216) 276-8643

Other practice location 1

3966 Warrensville Center Rd
Warrensville Heights, OH 44122-6770
Phone (440) 340-5086

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Outreach Center Ohio Mental Health CurrentSince Dec 1, 2023 Accepting new patients

Locations

3966 Warrensville Center Rd
Warrensville Heights, OH 44122
Phone (440) 340-5086

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": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1093583478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20736 DONNY BROOK RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373112",
            "telephone_number": "216-276-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20736 DONNY BROOK RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373112",
            "telephone_number": "216-276-8643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3966 Warrensville Center Rd",
            "address_purpose": "LOCATION",
            "city": "Warrensville Heights",
            "state": "OH",
            "postal_code": "441226770",
            "country_code": "US",
            "telephone_number": "440-340-5086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.