Active NPI
Misty L Smith LPC Caadc CCS
- Professional Counselor
- Elmira, MI
National Provider Identifier
1205612876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MISTY L SMITH LPC CAADC CCS
- Practice address
- 4384 Snow Ridge Rd
Elmira, MI 49730-8747 - Phone
- (989) 400-6520
- NPI assigned
- Sep 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misty Lynne Smith, LPC
- Title
- Owner
- Phone
- (989) 400-6520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4384 Snow Ridge Rd
Elmira, MI 49730-8747
Mailing address
4384 Snow Ridge Rd
Elmira, MI 49730-8747
Phone (989) 400-6520
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1205612876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4384 SNOW RIDGE RD",
"city": "ELMIRA",
"state": "MI",
"postal_code": "497308747",
"telephone_number": "989-400-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4384 SNOW RIDGE RD",
"city": "ELMIRA",
"state": "MI",
"postal_code": "497308747",
"telephone_number": "989-400-6520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISTY L SMITH LPC CAADC CCS",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-07",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MISTY",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-400-6520",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.