Vicki Lynn Nelson Smeby, MA LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301010861 Issued in MI

Practice address

4519 Cascade Rd SE
BLDG 2 Ste 1
Grand Rapids, MI 49546-3666

Phone

(616) 460-1819

Fax

(616) 942-9490

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Vicki Nelson Smeby Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Vicki Nelson Smeby Ma LLP LLC

  • Counseling Psychologist
  • Grand Rapids, MI
  • NPI 1922702331
  NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720152119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 STRATFORD CT SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064133",
            "telephone_number": "616-460-1819",
            "fax_number": "616-942-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD SE",
            "address_2": "BLDG 2 STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463666",
            "telephone_number": "616-460-1819",
            "fax_number": "616-942-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEBY",
        "first_name": "VICKI",
        "middle_name": "LYNN NELSON",
        "name_prefix": "Ms.",
        "credential": "MA LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301010861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "SMEBY",
            "middle_name": "NELSON",
            "prefix": "MS.",
            "credential": "MA LLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• SM&M Infinite Affairs (Visiting Neighbors)
• Smart Minds LLC
• Keith Douglas Smart, D.O.
• Kyler Smead
• Jennifer Anne Smeage, LMSW
• William Smeda
• Richard Keith Smedley, RMA
• Stephanie Smedley, LMSW
• Smeelink Acquisitions Inc (Co Op Optical)
• Smeelink Acquisitions Inc (Smeelink Optical)

• Counseling Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.