Monique Smith, PHD, LPC, NCC, BCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007914 Issued in MI

Practice address

24901 Northwestern Hwy Ste 412
Southfield, MI 48075-2209

Phone

(248) 730-3203

Fax

(248) 855-4084

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MI, Professional

  Medicare reassignment NPD
• Horizon Treatment Center

  • Community/Behavioral Health Agency
  • Southfield, MI
  • NPI 1912225152
  NPD Authorized official
• Horizon Treatment Services LLC

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1265597389
  NPD Authorized official
• Smith & Smith Consulting LLC

  • Mental Health Counselor
  • West Bloomfield, MI
  • NPI 1780383257
  NPD Authorized official
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130

  Professional

  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1467571752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6689 ORCHARD LAKE RD STE 138",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-730-3203",
            "fax_number": "248-855-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 412",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752209",
            "telephone_number": "248-730-3203",
            "fax_number": "248-855-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC,  NCC, BCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802077787",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Smith, M.D.
• Markell Smith
• Melisa Smith
• Mikeyla Kalise Smith
• Monica Smith
• Nashauna Smith
• Olivia Smith
• Quejhiana Smith
• Rebecca Marie Smith, LMSW
• Rochelle L Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.