Ryan Noelle Smith

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6362010393 Issued in MI

Practice address

15173 North Rd Ste 100
Fenton, MI 48430-1381

Phone

(810) 771-4074

NPI assigned

Aug 19, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creekside Counseling Group LLC

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1619550860
  NPD (past)

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1255247417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23660 PADDOCK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362226",
            "telephone_number": "810-771-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15173 NORTH RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301381",
            "telephone_number": "810-771-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362010393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Slagle, LMSW
• Sleep Well Dental Center PLC
• Idalis Slotka, LLMSW
• Mitchell Jason Smelis, ATC
• Rachael Smith, PA-C
• Shelby Lynn Beckman Smith, LPC, NCC
• Colene A. Snowden, AFC PROVIDER
• McKenzie Sobczak, TLLP
• Sonoma Dental Group, P.C.
• Sonoma Dental Group, P.C.

• Psychologist in Fenton, MI
• Providers in Fenton, MI by specialty
• Psychologist in Michigan

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

Verify at the official NPI Registry.