NPIMap

Organization Active NPI

DBT Center of Michigan, LLC

  • Clinical Social Worker
  • Holt, MI
National Provider Identifier
1710114707
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DBT CENTER OF MICHIGAN, LLC
Practice address
4205 Charlar Dr
Suite 3
Holt, MI 48842-6810
Phone
(517) 214-7964
NPI assigned
Jun 17, 2009
Last updated
Sep 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mr. Josh M. Smith, MSW, LMSW
Title
Co-Owner/Founder
Phone
(517) 214-7964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4205 Charlar Dr
Suite 3
Holt, MI 48842-6810

Mailing address

4205 Charlar Dr
Suite 3
Holt, MI 48842-6810
Phone (517) 214-7964

National Provider Directory

National Provider Directory

Locations

44 N Hanchett St
Coldwater, MI 49036
Phone (517) 667-6453

1808 S Pennsylvania Ave
Ste C
Lansing, MI 48910
Phone (517) 367-0670

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1710114707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CHARLAR DR",
            "address_2": "SUITE 3",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488426810",
            "telephone_number": "517-214-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CHARLAR DR",
            "address_2": "SUITE 3",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488426810",
            "telephone_number": "517-214-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT CENTER OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CO-OWNER/FOUNDER",
        "authorized_official_telephone_number": "517-214-7964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.