Janice Smith, CAC-M

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

104440 Issued in MI

Practice address

13220 Woodward Ave
Highland Park, MI 48203-3610

Phone

(313) 868-1946

Fax

(313) 852-1631

NPI assigned

Mar 26, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Detroit Rescue Mission Ministries

  dba Christian Guidance Center

  • Substance Abuse Rehabilitation Facility
  • Highland Park, MI
  • NPI 1740313238
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437277035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20050 STRATFORD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213502",
            "telephone_number": "313-868-1946",
            "fax_number": "313-852-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033610",
            "telephone_number": "313-868-1946",
            "fax_number": "313-852-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANICE",
        "credential": "CAC-M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "104440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTIAN GUIDANCE CENTER",
            "identifier": "1740313238",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashana D Simpson, CNA
• Sharnica Simpson, FNP-BC
• Selena J Singleton, LLMSW
• Six Family Health Center, P.C.
• Tye Himba Pamoja Sly
• Telitha Smith, RN
• Sharone Solomon Hamilton
• Sonya Soward, LLBSW
• Tamika K Spears
• Speciality Medical Services PLC

• Addiction (Substance Use Disorder) Counselor in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.