Active NPI
Kimberly Sue Warchol Smith, BA CACR
- Addiction (Substance Use Disorder) Counselor
- Flint, MI
National Provider Identifier
1487740874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2-00894
- Practice address
- 901 Chippewa St
Flint, MI 48503-1552 - Phone
- (810) 232-9950
- Fax
- (810) 232-7599
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8231 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2-00894 | MI | Primary |
Addresses
Primary practice location
901 Chippewa St
Flint, MI 48503-1552
Mailing address
7342 Lawrence Street
Grand Blanc, MI 48439
Phone (810) 655-6515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8231 | TX | MD | Counselor |
| 2-00894 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1487740874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7342 LAWRENCE STREET",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48439",
"telephone_number": "810-655-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CHIPPEWA ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485031552",
"telephone_number": "810-232-9950",
"fax_number": "810-232-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARCHOL SMITH",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "BA CACR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "8231",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "2-00894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.