Abigail Jennifer Cheryl Smith, MA, LLPC, DP-CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017337 Issued in MI

Practice address

3949 Sparks Dr SE Ste 103
Grand Rapids, MI 49546-6110

Phone

(616) 957-5850

Fax

(616) 957-5853

NPI assigned

May 16, 2019

Last updated

May 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Lotus Center for Counseling LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1780457192
  Medicare reassignment NPD Authorized official
• Alcohol and Chemical Abuse Consultants Inc

  dba ACAC Inc

  • Addiction (Substance Use Disorder) Counselor
  • Muskegon, MI
  • NPI 1235621251
  NPD (past)
• Alcohol and Chemical Abuse Consultants Inc

  dba ACAC Inc

  • Addiction (Substance Use Disorder) Counselor
  • Muskegon, MI
  • NPI 1447356050

  Professional

  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1538725320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SPARKS DR SE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466110",
            "telephone_number": "616-957-5850",
            "fax_number": "616-957-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SPARKS DR SE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466110",
            "telephone_number": "616-957-5850",
            "fax_number": "616-957-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 E Apple Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494423758",
            "country_code": "US",
            "telephone_number": "231-737-9840",
            "fax_number": "616-957-5853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ABIGAIL",
        "middle_name": "JENNIFER CHERYL",
        "credential": "MA, LLPC, DP-CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smilie's Pediatric Dentistry (Smilie's Pediatric Denitstry)
• Edith Marie Sharone Smith-Craig
• Jameica Smith-Daniel
• Candace Smith-King, MD
• Abigail Smith, OTD,OTRL
• Achia Smith
• Adam Benjamin Smith
• Alaina Smith
• Alaina C Smith
• Alexandra Smith

• 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 May 16, 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.