Organization Active NPI

Smith Counseling LLC

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1710520911
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SMITH COUNSELING LLC
Practice address
19500 Middlebelt Rd Ste 342W
Livonia, MI 48152-2196
Phone
(734) 502-7141
Fax
(734) 853-5334
NPI assigned
Oct 21, 2019
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Elizabeth J Smith, LMSWNPI 1447449236
Title
Owner/Director
Phone
(734) 502-7141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

19500 Middlebelt Rd Ste 342W
Livonia, MI 48152-2196

Mailing address

PO Box 851036
Westland, MI 48185-6136
Phone (734) 502-7141

Other identifiers 1

IdentifierTypeStateIssuer
6801086701OtherMISTATE OF MICHIGAN MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109000436 MI Part B Supplier - Clinic/Group Practice 9234564899 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

19500 Middlebelt Rd
Ste 342W
Livonia, MI 48152
Phone (734) 502-7141

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1710520911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851036",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856136",
            "telephone_number": "734-502-7141",
            "fax_number": "734-853-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 MIDDLEBELT RD STE 342W",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522196",
            "telephone_number": "734-502-7141",
            "fax_number": "734-853-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "734-502-7141",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "6801086701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.