Misty Lynne Smith, MS, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014234 Issued in MI

Practice address

4273 Corporate Dr
Mount Pleasant, MI 48858-5321

Phone

(989) 953-4357

NPI assigned

Nov 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Misty Lynne Ackley Former name

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• Misty L Smith LPC Caadc CCS

  • Professional Counselor
  • Elmira, MI
  • NPI 1205612876
  NPD Authorized official
• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Mt Pleasant, MI
  • NPI 1922712009
  NPD (past)
• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mount Pleasant, MI
  • NPI 1598932253
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1144772344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MISTY",
        "middle_name": "LYNNE",
        "credential": "MS, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "ACKLEY",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine Ayanna Smith
• Jody Lyn Smith, MSW LLMSW CDP CAADC
• Karlyn Smith
• Lisa Ann Smith
• Marybeth Smith, CCC-SLP, M.A.
• Natalie Morgan Smith
• Shannon Leigh Smith, AUD
• Skylar Smith
• Stefanie S Smith, LMSW
• Tamara Sue Smith, LPN

• Counselor in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.

Verify at the official NPI Registry.