Organization Active NPI

Shari L. Smith PLLC

  • Professional Counselor
  • Port Huron, MI
National Provider Identifier
1942629225
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013817 Issued in MI
Legal business name
SHARI L. SMITH PLLC
Practice address
1111 Pine Grove Ave
Port Huron, MI 48060-3565
Phone
(810) 434-1400
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Shari L Smtih, MA, LPC, NCC
Title
Owner, LPC
Phone
(810) 434-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401013817 MI Primary

Addresses

Primary practice location

1111 Pine Grove Ave
Port Huron, MI 48060-3565

Mailing address

1111 Pine Grove Ave
Port Huron, MI 48060-3565
Phone (810) 434-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301002263 MI Part B Supplier - Clinic/Group Practice 5890130702 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Gratiot, MI

National Provider Directory

National Provider Directory

Locations

3071 Commerce Dr
Ste B
Fort Gratiot, MI 48059
Phone (810) 357-9318

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1942629225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603565",
            "telephone_number": "810-434-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603565",
            "telephone_number": "810-434-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI L. SMITH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SMTIH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, LPC",
        "authorized_official_telephone_number": "810-434-1400",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.