D'Andre TL Smith, LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301017808 Issued in MI

Practice address

1009 44TH St SW Ste 103
Wyoming, MI 49509-4480

Phone

(269) 459-1818

Fax

(269) 365-9951

NPI assigned

Sep 30, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meredith Psychological and Testing Services, LLC

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1558735266
  NPD

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1497182943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 UNION AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035426",
            "telephone_number": "616-828-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 44TH ST SW STE 103",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094480",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481605",
            "country_code": "US",
            "telephone_number": "269-385-8502",
            "fax_number": "269-385-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "D'ANDRE",
        "middle_name": "TL",
        "name_prefix": "Mr.",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Sleboda, LMSW
• Sleep Well West Michigan
• Matthew Cesar Slendebroek, M.D.
• Stephanie Lynn-King Smit, PT
• Andrea Marie Smith, LLBSW
• Grace Smith, M.A., CF-SLP
• Jennifer Smith
• Jennifer A Smith, MSPT
• Karrie Smith, LLBSW
• Kay Ann Smith, NP

• Counseling Psychologist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.