MS. COURTNEY LYN SMITH
NPI 1053617100
Counselor - Professional in Grand Rapids, MI

Active since February 08, 2011PECOS EnrolledAccepts Medicare Assignment
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 456-1443 Get Directions Write a Review

NPPES record last updated: November 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Courtney Lyn Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. COURTNEY LYN SMITH (NPI 1053617100) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401014251) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053617100
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. COURTNEY LYN SMITH
Location Address40 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address40 Jefferson Ave SeGrand Rapids, MI 49503-4304 · (616) 456-1443
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 20, 2022
NPPES CertifiedNovember 20, 2022
NPI 1053617100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401014251
40 JEFFERSON AVE SE, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Courtney Garvelink

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Courtney Lyn Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739531450
PECOS Enrollment IDI20240118002207
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Psychologist (Counseling)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Addiction (Substance Use Disorder))
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Smith's NPI number?

The NPI number for Courtney Smith is 1053617100. It was assigned to this individual provider in the NPPES registry on February 8, 2011. The provider is also known as Courtney Garvelink.

Where is Courtney Smith located?

Courtney Smith practices at 40 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 456-1443.

What is Courtney Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Courtney Smith enrolled in Medicare?

Yes. Courtney Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Courtney Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Courtney Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Smith was last updated on November 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.