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GINA SMITH CPRM
NPI 1255817458
Peer Specialist in Detroit, MI

Active since July 11, 2018
15941 FAIRFIELD ST, DETROIT, MI 48238(313) 345-4310(313) 345-4315 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gina Smith Cprm NPPES

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

GINA SMITH CPRM (NPI 1255817458) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1255817458
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameGINA SMITHCredential: CPRM
Location Address15941 FAIRFIELD STDetroit, MI 48238-4123
Mailing Address15941 Fairfield StDetroit, MI 48238-4123 · (313) 345-4310 · Fax (313) 345-4615
Phone(313) 345-4310
Fax(313) 345-4315
Sole ProprietorNo
Enumeration DateJuly 11, 2018
✔ NPI 1255817458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
15941 FAIRFIELD ST, Detroit, MI 48238
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Other Identifiers 1

Medicaid204986314MI

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.

KENNETH FULTZ CPRM
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
MEGAN E DOYLE
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
IDELLMAR BYAIS BSW
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
MS. RACHEL MARION SMITH
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
ERIC CARTER
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
JONATHON EDWARD WILLIAMS BSW
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310
JUANITA CHARLESTON
Contractor
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 855-6035
LAKERIDGE VILLAGE, INC.
Substance Abuse Rehabilitation Facility
15941 FAIRFIELD ST
DETROIT, MI 48238
Wayne County (313) 345-4310

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 Gina Smith's NPI number?

The NPI number for Gina Smith is 1255817458. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Gina Smith located?

Gina Smith practices at 15941 Fairfield St, Detroit, MI 48238. The listed phone number is (313) 345-4310.

What is Gina Smith's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Gina Smith was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.