Timothy Smith, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6802085374 Issued in MI

Practice address

507 36TH St SE
Wyoming, MI 49548-2339

Phone

(517) 676-5405

Fax

(517) 676-5460

NPI assigned

May 8, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Consumer Services, Inc.

  • Clinical Social Worker
  • Mason, MI
  • NPI 1700066339
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1962813238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 JEWETT RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488548729",
            "telephone_number": "517-676-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 36TH ST SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482339",
            "telephone_number": "517-676-5405",
            "fax_number": "517-676-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6802085374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Smith, RN
• Monica Rae Smith, LLMSW
• Natalie Smith
• Nicole Beatrice Smith, DO
• Robin L Smith, N.P.
• Trevor Alan Smith, M.D.
• Eric M Smithhart, PHARMD
• Amanda Marie Smits, AT, ATC
• Laura Sniderman
• Jenna Snyder

• Professional Counselor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.