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AMANDA DAWN SMITH
NPI 1205107455
Counselor in Southfield, MI

Active since January 19, 2012PECOS EnrolledAccepts Medicare Assignment
29000 INKSTER RD, SOUTHFIELD, MI 48034(517) 367-0670(517) 367-0681 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Dawn Smith NPPES

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

AMANDA DAWN SMITH (NPI 1205107455) is an individual counselor in Southfield, Michigan, licensed in Michigan (6401225207) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205107455
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMANDA DAWN SMITH
Location Address29000 INKSTER RDSouthfield, MI 48034-1097
Mailing Address2950 W Howell RdMason, MI 48854-9329 · (517) 367-0670 · Fax (517) 367-0681
Phone(517) 367-0670
Fax(517) 367-0681
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 19, 2012
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1205107455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401225207
Definition
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.
29000 INKSTER RD, Southfield, MI 48034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Dawn 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 ID2668978040
PECOS Enrollment IDI20251003002411
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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dbt Institute Of Mi
59 mi
Psychiatric Residential Treatment Facility
2950 W HOWELL RD
Mason, MI 48854
  • Reassigned Medicare billing, Michigan enrollment
  • 27 clinicians in this Medicare group
NPI 1982063889 (517) 367-0670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

MR. AUSTIN PARKER ASH LMSW
Social Worker (Clinical)
29000 INKSTER RD
SOUTHFIELD, MI 48034
Oakland County (517) 367-0670
WANDA E EDWARDS NP
Nurse Practitioner (Psychiatric/Mental Health)
29000 INKSTER RD, STE 115
SOUTHFIELD, MI 48034
Oakland County (313) 270-4888
ALEXIS LUMAJ
Psychologist
29000 INKSTER RD
SOUTHFIELD, MI 48034
Oakland County (517) 367-0670

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 Amanda Smith's NPI number?

The NPI number for Amanda Smith is 1205107455. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Amanda Smith located?

Amanda Smith practices at 29000 Inkster Rd, Southfield, MI 48034. The listed phone number is (517) 367-0670.

What is Amanda Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Amanda Smith enrolled in Medicare?

Yes. Amanda 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.

Which organization bills Medicare for Amanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Smith reassigns Medicare benefits to Dbt Institute Of Mi (Mason, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Smith accept?

Health plans from Blue Care Network of Michigan and Priority Health list Amanda 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 Amanda Smith was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.