Shannon Smith, MA, CRC, CCM, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009950 Issued in MI

Practice address

1032 N Capitol Ave
Lansing, MI 48906-4823

Phone

(517) 282-1772

Fax

(517) 580-3339

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith Rehabilitation Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Byron Center, MI
  • NPI 1043950652
  NPD Authorized official
• Shelton Rehabilitation Consulting, LLC

  • Professional Counselor
  • Lansing, MI
  • NPI 1699259556
  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1326635590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493150524",
            "telephone_number": "616-780-0244",
            "fax_number": "616-878-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 N CAPITOL AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489064823",
            "telephone_number": "517-282-1772",
            "fax_number": "517-580-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "credential": "MA, CRC, CCM, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Smith
• Rebecca Smith
• Robert Smith, PRC
• Robin L Smith, PA
• Ryan McQuarrie Smith, D.O.
• Spencer Levi Smith, RN
• Stephanie Smith
• Tristen Smith
• Vonetta Smith
• Winona Echols Smith, PROFESSIONAL COUNSEL

• Professional Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.