MS. NEDGRA SMITH LPC LLMSW
NPI 1750680211
Counselor in Holland, MI

Q: What is Nedgra Smith's NPI number?

The NPI number for Nedgra Smith is 1750680211. It was assigned to this individual provider in the NPPES registry on March 23, 2011. The provider is also known as Nedra Smith.

Q: What is Nedgra Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nedgra Smith was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2011PECOS Enrolled

400 136TH AVE STE 416, HOLLAND, MI 49424(616) 952-9957 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, May 15, 2025, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Ms. Nedgra Smith Lpc Llmsw NPPES

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

MS. NEDGRA SMITH LPC LLMSW (NPI 1750680211) is an individual counselor in Holland, Michigan, licensed in Michigan (6401224600) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750680211

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. NEDGRA SMITHCredential: LPC LLMSW

Location Address400 136TH AVE STE 416Holland, MI 49424-2905

Mailing Address7640 Timbercreek Ct Apt 1Portage, MI 49024-7004 · (269) 358-0271

Phone(616) 952-9957

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 23, 2011

Last NPPES UpdateJune 8, 20265 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1750680211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401224600

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401015959 (MI)

400 136TH AVE STE 416, Holland, MI 49424

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Other Names 1

Other Name (5)Nedra Smith

Secondary Practice Locations 2

Location 11 Ford Pl Ste 1EDetroit, MI 48202-3450 · Phone (313) 874-6677

Location 23200 Greenfield Rd Ste 300Dearborn, MI 48120-1805 · Phone (574) 546-1900 · Fax (574) 546-1999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, McLaren Health Plan Community, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nedgra Smith Lpc Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890070437

PECOS Enrollment IDI20250808000971

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 8

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

LIANA DYKEMA

Nurse Practitioner (Psychiatric/Mental Health)