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Active NPI 1235426545 Individual Practitioner Female Practitioner

Edith Rena Smith , CERTIFIED PEER SUPPO

Counselor • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Edith Smith, CERTIFIED PEER SUPPO is a registered healthcare professional specializing in Counselor in Detroit, MI. Practice services are available at 1121 E MCNICHOLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1121 E Mcnichols Rd

Detroit, MI 482032857

Telephone 3133653100
Fax 3133653101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
267 Specialists

Practicing in Detroit, MI (2610 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License MI 2008

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cerified Peer Recovery Coach
2018 (MI)
Commercial Insurance / Payer ID Cerified Peer Support Specialist
2008 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Linda Jenkins

Counselor

NPI 1013337153
Jeremy Wilmot

Peer Specialist

NPI 1013796929
Jay Young

Case Manager/Care Coordinator

NPI 1033362256
John Eberhart , CAC-I

Peer Specialist

NPI 1043302730

CACI

T'mando Denson-El

Peer Specialist

NPI 1053955419
Terea Frazier

Counselor

NPI 1063866275

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 21, 2023

Registered at 707 W MILWAUKEE ST, DETROIT, MI 482022943 (Tel: 3133472068)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Peer Specialist (License #2008 in MI)

NPI Profile Active July 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2011

Registered at 1121 E MCNICHOLS RD, DETROIT, MI 482032857 (Tel: 3133653100)

📍
Updated Business Mailing Address July 07, 2011

Registered at 1121 EAST MCNICHOLS, DETROIT, MI 48203 (Tel: 3133653100)

👤
Provider Name / Credentials Updated July 07, 2011

Recorded as EDITH SMITH, CERTIFIED PEER SUPPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2011

Counselor

🟢
Initial NPI Registration & Enumeration July 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235426545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2011
Last Update: February 21, 2023
Sole Proprietor: Yes

Mailing Address

707 W Milwaukee St

Detroit, MI 482022943

Phone: 3133472068

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.