Individual provider Active NPI

Ryan Smith, LMSW, CADC-M

  • Addiction (Substance Use Disorder) Counselor
  • Lapeer, MI
National Provider Identifier
1629185681
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1800 Imlay City Rd
Lapeer, MI 48446-3208
Phone
(810) 245-5704
Fax
(810) 245-5676
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1800 Imlay City Rd
Lapeer, MI 48446-3208

Mailing address

1717 Whipple St
Port Huron, MI 48060-3372
Phone (810) 956-7522

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120920000700 MI Practitioner - Clinical Social Worker 0042468761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LapeerGroup PAC ID 4183533193, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone (810) 667-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lapeer CurrentSince Sep 1, 2012 Accepting new patients
County of Lapeer Addiction (Substance Use Disorder) CurrentSince Sep 1, 2012 Accepting new patients
County of Lapeer CurrentSince Jan 31, 2024 Accepting new patients
County of Lapeer Past Accepting new patients

Locations

1570 Suncrest Dr
Lapeer, MI 48446
Phone (810) 667-0244

1800 Imlay City Rd
Lapeer, MI 48446
Phone (810) 667-0243

Organizations & group practices 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1629185681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WHIPPLE ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603372",
            "telephone_number": "810-956-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 IMLAY CITY RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463208",
            "telephone_number": "810-245-5704",
            "fax_number": "810-245-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LMSW, CADC-M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.