Individual provider Active NPI

Bobbie Smith, LPC

  • Professional Counselor
  • Adrian, MI
National Provider Identifier
1285000307
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015008 Issued in MI
Practice address
1040 S Winter St Ste 1022
Adrian, MI 49221-3876
Phone
(517) 263-8905
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015008 MI Primary

Addresses

Primary practice location

1040 S Winter St Ste 1022
Adrian, MI 49221-3876

Mailing address

220 N Main St
Adrian, MI 49221-2749
Phone (517) 265-5352

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250421002565 MI Practitioner - Mental Health Counselor 3173048295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenawee Community Mental Health AuthorityGroup PAC ID 7214828177, 8 clinicians

Practice addresses (Care Compare)

1040 S Winter St
Suite 1022
Adrian, MI 49221-3876
Phone (517) 263-8905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lenawee Community Mental Health Authority CurrentSince Feb 9, 2025 Accepting new patients
Lenawee Community Mental Health Authority PastSince Sep 29, 2024 Accepting new patients
Family Counseling and Children'S Services Past Accepting new patients

Locations

1040 S Winter St
Ste 1022
Adrian, MI 49221
Phone (517) 263-8905

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1285000307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212749",
            "telephone_number": "517-265-5352",
            "fax_number": "517-263-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST STE 1022",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-263-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.