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Active NPI 1184029340 Individual Practitioner Male Practitioner

John Smith , MA LPC CRC SCL

Counselor - Professional • Redford, MI

Professional Overview & Biography Verified Profile Summary

John Smith, MA LPC CRC SCL is a registered healthcare professional specializing in Counselor - Professional in Redford, MI. Practice services are available at 9315 TELEGRAPH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9315 Telegraph Rd

Redford, MI 482391260

Telephone 3134504500
Associated Practice Facility / Clinic
🏢 Lincoln Behavioral Services Facility NPI 1669451944

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Redford, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Redford, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401005523

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License MI 00014088

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.

Counselor - School

NUCC Taxonomy Code: 101YS0200X

State License MI MI-SC0000000749838

Definition to come...

Secondary Practice Locations

2775 Colrain Dr

Waterford, MI 483283618

Phone: 2487386646

Practice Associates & Co-Workers

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

40 Associated Practitioners
Monet Robinson

Counselor - Mental Health

NPI 1003298746
Stephanie Balser , RN

Registered Nurse - General Practice

NPI 1013252667

Registered Nurse

Richard Warner

Peer Specialist

NPI 1013562099
Ronda Jackson

Student in an Organized Health Care Education/Training Program

NPI 1013876663
Sarah Brookins , LPC

Counselor - Mental Health

NPI 1023433042

Licensed Professional Counselor

Amy Neff

Registered Nurse

NPI 1033571484

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 20, 2018

Registered at 9315 TELEGRAPH RD, REDFORD, MI 482391260 (Tel: 3134504500)

NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 2775 COLRAIN DR, WATERFORD, MI 483283618 (Tel: 2487386646)

📍
Updated Business Mailing Address October 30, 2014

Registered at 2775 COLRAIN DR, WATERFORD, MI 483283618 (Tel: 2487386646)

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as JOHN SMITH, MA LPC CRC SCL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Counselor (License #00014088 in MI)

🟢
Initial NPI Registration & Enumeration October 30, 2014

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: 1184029340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2014
Last Update: September 20, 2018
Sole Proprietor: Yes

Mailing Address

2775 Colrain Dr

Waterford, MI 483283618

Phone: 2487386646

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.