Nedgra Smith · Nedra Smith · Professional Counselor

400 136th Ave Ste 416, Holland, MI 49424-2905

Overview

Nedgra Smith is a Professional Counselor practicing in Holland, Michigan. The National Provider Identifier (NPI) is #1750680211, which was assigned on March 23, 2011, and the registration record was last updated on May 15, 2025. The practitioner's main practice location is at 400 136th Ave Ste 416, Holland, MI 49424-2905; the contact telephone number is 6169529957. The primary taxonomy of Nedgra Smith is Professional Counselor (101YP2500X), with specialization in Professional. Nedgra Smith is licensed to practice in the state of Michigan (#6401015959), Michigan (#6801100349).

Provider Information

NPI 1750680211
Entity Type Individual
Provider Name MS. NEDGRA SMITH
Other Name NEDRA SMITH
(Other Name)
Gender Female
Credential LPC LLMSW
Practice Address 400 136th Ave Ste 416
Holland
MI 49424-2905
Practice Telephone 6169529957
Mailing Address 7640 Timbercreek Ct Apt 1
Portage
MI 49024-7004
Mailing Telephone 2693580271
Certification Date 2025-05-15
Enumeration Date 2011-03-23
Last Update Date 2025-05-15
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5890070437
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name NEDGRA SMITH
Primary Specialty MENTAL HEALTH COUNSELOR
Address 7640 Timbercreek Ct
Apt 1
Portage
MI 49024-7004

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YP2500XCounselorProfessional6401015959MI
N1041C0700XSocial WorkerClinical6801100349MI

Secondary Practice Locations

AddressTelephoneFax
117 W Paterson St, Kalamazoo, MI 4900725572693643431 ext. 2312692012855
326 W Kalamazoo Ave Ste 406B, Kalamazoo, MI 4900733612693643431

Taxonomy Information

Primary Taxonomy

Code 101YP2500X
Taxonomy Professional Counselor
Classification Counselor
Specialization Professional
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Provider NameAddressTaxonomyEnumeration Date
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Location Information

Street Address 400 136TH AVE STE 416
City HOLLAND
State MI
Zip Code 49424-2905
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Tamela Joy Schaap 400 136th Ave Ste 416, Holland, MI 49424-2905Clinical Social Worker2025-08-28
West Michigan Psychological Services LLC 400 136th Ave Ste 416, Holland, MI 49424-2905Counseling Psychologist2018-12-05
Natasha Smith 400 136th Ave Ste 416, Holland, MI 49424-2905Mental Health Counselor2025-09-30

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mary F Erickson 588 E Lakewood Blvd Fl 2, Holland, MI 49424-2023Physician Assistant2025-02-24
Tricia R Miller 437 North 120th Ave, Holland, MI 49424Internal Medicine Physician2006-08-23
Gregory A Schrotenboer 437 North 120th Ave, Holland, MI 49424Internal Medicine Physician2006-08-23
Yvette Chiquito 12265 James St., Holland, MI 49424Clinical Social Worker2009-05-29
Stephanie A Miiller · Stephanie A Soukup 3100 N Wellness Dr, Holland, MI 49424Audiologist2008-03-28
Christopher Nelis 187 Riley St, Holland, MI 49424-1884General Practice Dentistry2016-03-25
Denise Brink 411 Butternut Dr, Holland, MI 49424-1503Registered Nurse2025-02-04
Gary Alan Schra 494 Butternut Dr, Holland, MI 49424-1556Pharmacist2006-12-20
Jacob Lepard 588 E Lakewood Blvd, Holland, MI 49424-2023Physician Assistant2020-01-06
Cln Dental PLLC 187 Riley St, Holland, MI 49424-1884General Practice Dentistry2022-01-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.