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DERRICK L SMITH CPRC
NPI 1275348625
Counselor - Addiction (Substance Use Disorder) in Traverse City, MI

Active since February 12, 2025
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-6901 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick L Smith Cprc NPPES

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

DERRICK L SMITH CPRC (NPI 1275348625) is an individual addiction (substance use disorder) provider in Traverse City, Michigan and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1275348625
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK L SMITHCredential: CPRC
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-6901
Phone(231) 935-6901
Sole ProprietorYes
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1275348625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1105 SIXTH ST, Traverse City, MI 49684
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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.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100
DEANNE R BRIGGS LPC, CAC III
Counselor (Mental Health)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6380

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 Derrick Smith's NPI number?

The NPI number for Derrick Smith is 1275348625. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Derrick Smith located?

Derrick Smith practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-6901.

What is Derrick Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derrick Smith was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.