Active NPI
Susan E Smallwood, LPC
- Professional Counselor
- Grand Blanc, MI
National Provider Identifier
1104135961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401224713
- Practice address
- 7227 Fenton Rd
Grand Blanc, MI 48439-8961 - Phone
- (810) 771-4074
- Fax
- (810) 866-4450
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 6401224713 | MI | Primary |
Addresses
Primary practice location
7227 Fenton Rd
Grand Blanc, MI 48439-8961
Mailing address
7227 Fenton Rd
Grand Blanc, MI 48439-8961
Phone (810) 771-4074
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114002004 | MI | Practitioner - Mental Health Counselor | 5294263539 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7227 Fenton Rd
Grand Blanc, MI 48439-8961
Phone (810) 771-4074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401224713 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Counseling Group LLC | Counselor | Current | Accepting new patients |
Locations
10801 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 771-4074
7227 Fenton Rd
Grand Blanc, MI 48439
Phone (810) 694-2770
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": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1104135961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7227 FENTON RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398961",
"telephone_number": "810-771-4074",
"fax_number": "810-866-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7227 FENTON RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398961",
"telephone_number": "810-771-4074",
"fax_number": "810-866-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401224713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.