Individual provider Active NPI

Cham Smadi

  • Mental Health Counselor
  • Ferndale, MI
National Provider Identifier
1497525653
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
290 W 9 Mile Rd
Ferndale, MI 48220-1794
Phone
(248) 398-7105
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

290 W 9 Mile Rd
Ferndale, MI 48220-1794

Mailing address

5825 Red Coat LN
West Bloomfield, MI 48322-1711
Phone (313) 442-6568

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

Practice roles

OrganizationSpecialtyStatusNew patients
Path to Empowerment, PLLC CurrentSince Jan 14, 2024 Accepting new patients
Affirmations Community Center CurrentSince May 1, 2024 Accepting new patients

Locations

290 W 9 Mile Rd
Ferndale, MI 48220
Phone (248) 397-7105

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1497525653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 RED COAT LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221711",
            "telephone_number": "313-442-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201794",
            "telephone_number": "248-398-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMADI",
        "first_name": "CHAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.