Angela Jill Smith, LLPC, LLMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016543 Issued in MI

Practice address

3300 36TH St SE
Grand Rapids, MI 49512-2810

Phone

(616) 942-7294

NPI assigned

Mar 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of MuskegonGroup PAC ID 2264325448, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• County of Muskegon

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muskegon, MI
  • NPI 1003914946
  Medicare reassignment Care Compare group NPD
• County of Muskegon

  • Skilled Nursing Facility
  • Muskegon, MI
  • NPI 1659440816
  NPD

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1477056257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "CASNOVIA",
            "state": "MI",
            "postal_code": "493180114",
            "telephone_number": "616-745-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122810",
            "telephone_number": "616-942-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Atherton St",
            "address_purpose": "LOCATION",
            "city": "Casnovia",
            "state": "MI",
            "postal_code": "493185114",
            "country_code": "US",
            "telephone_number": "616-745-9743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "JILL",
        "credential": "LLPC, LLMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016543",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Smith, PA
• Allison Joy Smith, MA, LLPC
• Alyssa Jean Smith, LMSW
• Amy Joy Smith, MA
• Andrea Lauren Smith, PHD
• Anita Isabel Smith
• Anna Claire Smith
• Aric C. Smith, DDS, MS
• Arriel Smith
• Ashleigh Smith, LMSW

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.