Active NPI
Samantha Smith, LLPC
- Counselor
- Southfield, MI
National Provider Identifier
1174051007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451011910
- Practice address
- 24445 Northwestern Hwy
Southfield, MI 48075 - Phone
- (248) 483-7804
- NPI assigned
- May 23, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451011910 | MI | Primary |
| Mental Health Counselor | 101YM0800X | 6451011910 | MI | |
| Mental Health Counselor | 101YM0800X | 6401011910 | MI |
Addresses
Primary practice location
24445 Northwestern Hwy
Southfield, MI 48075
Mailing address
1037 High Ridge Dr
Canton, MI 48187-5010
Phone (313) 587-3000
Other practice location 1
19291 Northline Rd
Southgate, MI 48195-2220
Phone (734) 287-1500
Other practice location 2
127 N Lafayette St
South Lyon, MI 48178-1210
Phone (248) 573-7417
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 |
|---|---|---|---|
| 6451011910 | MI | MD | Counselor |
| 6401011910 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1174051007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 HIGH RIDGE DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481875010",
"telephone_number": "313-587-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24445 NORTHWESTERN HWY",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-483-7804"
}
],
"practiceLocations": [
{
"address_1": "19291 Northline Rd",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952220",
"country_code": "US",
"telephone_number": "734-287-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "127 N Lafayette St",
"address_purpose": "LOCATION",
"city": "South Lyon",
"state": "MI",
"postal_code": "481781210",
"country_code": "US",
"telephone_number": "248-573-7417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SAMANTHA",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451011910",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451011910",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401011910",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.