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

Active since March 23, 2011PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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

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
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

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

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

Ms. Nedgra Smith Lpc Llmsw 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 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nedgra Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
400 136TH AVE STE 416
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 17 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1608 LAKE ST
Kalamazoo, MI 49001
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
Clinical
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
Clinical
135 PINELAWN RD STE 204N
Melville, NY 11747
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group

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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
400 136TH AVE STE 416
HOLLAND, MI 49424
Counselor (Mental Health)
400 136TH AVE STE 416
HOLLAND, MI 49424
Psychologist (Counseling)
400 136TH AVE STE 416
HOLLAND, MI 49424
Social Worker (Clinical)
400 136TH AVE STE 416
HOLLAND, MI 49424
Family Medicine
400 136TH AVE STE 416
HOLLAND, MI 49424
Social Worker (Clinical)
400 136TH AVE STE 416
HOLLAND, MI 49424
Counselor (Mental Health)
400 136TH AVE STE 416
HOLLAND, MI 49424
Psychologist
400 136TH AVE STE 416
HOLLAND, MI 49424

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 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.

Where is Nedgra Smith located?

Nedgra Smith practices at 400 136th Ave Ste 416, Holland, MI 49424. The listed phone number is (616) 952-9957.

What is Nedgra Smith's specialty?

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

Is Nedgra Smith enrolled in Medicare?

Yes. Nedgra 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 organizations bill Medicare for Nedgra Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nedgra Smith reassigns Medicare benefits to 4 organizations: West Michigan Psychological Services LLC (Holland, MI), Family & Children Services (Kalamazoo, MI), Henry Ford Health System (Detroit, MI) and Wellqor Psychological Services, PC (Melville, NY). Each 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 Nedgra Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nedgra Smith accept?

Health plans from Blue Care Network of Michigan, Oscar Insurance Company, Priority Health and UnitedHealthcare list Nedgra 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 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 4 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.