Troy John Smith

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451024052 Issued in MI

Practice address

119 Bingham Dr
Brooklyn, MI 49230-8926

Phone

(517) 282-9338

Fax

(517) 938-5948

NPI assigned

Nov 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psych Resolutions

  • Psychologist
  • Brooklyn, MI
  • NPI 1417408634

  Single Specialty

  NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1164247698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 FAWN LN",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019003",
            "telephone_number": "517-282-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BINGHAM DR",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308926",
            "telephone_number": "517-282-9338",
            "fax_number": "517-938-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TROY",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Schmitt, DDS
• Cody Schneider
• Angela Shepherd, LBSW
• Haley Marie Simpkins
• Kendon Smith
• Elizabeth Stevens, RN
• Tiffany Stevens, RN
• Storm Caryl, LLC
• Jaclyn Elizabeth Sylvain
• Dori P Tamagne, MD

• Counselor in Brooklyn, MI
• Providers in Brooklyn, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.