MINDIE ADELE SMITH (LPC) – Professional Counselor, NPI 1073014916

MINDIE ADELE SMITH (LPC) is a healthcare provider. based in Kalamazoo, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 6301012549 (). The NPI Number for MINDIE ADELE SMITH (LPC) is 1073014916

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MINDIE ADELE SMITH (LPC)
NPI
1073014916
Phone
(269) 349-2641
Address
1308 N Burdick St
Enumeration Date
26 February 2018
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
1951759612
Group Practice PAC ID
1759370216
Professional Enrollment ID
I20231208001444
Address ID
MI490072557KA117XXPATT300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for MINDIE ADELE SMITH (LPC)

  • 1308 N Burdick St

    Kalamazoo, MI 490072503

    Phone: (269) 349-2641

    Type: Location

  • 505 E Alcott St

    Kalamazoo, MI 490016144

    Phone: (269) 349-2641

    Type: Location

  • 117, West Paterson Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    KALAMAZOO, MI 490072557

    Phone: (269) 349-2641

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231208001444IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759370216View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeRI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Nurse PractitionerMI
Pediatric Medicine, Internal MedicineMI
-MI
-MI
-MI
-MI
Pediatric Medicine, Internal MedicineMO

Reviews

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Frequently asked questions

Can I use this page to confirm MINDIE ADELE SMITH (LPC)'s NPI?
Yes. MINDIE ADELE SMITH (LPC) is listed with NPI 1073014916 in the public NPI dataset.
Can I rely on MINDIE ADELE SMITH (LPC) being an active provider?
As of the registry snapshot, MINDIE ADELE SMITH (LPC) is marked active.
What is MINDIE ADELE SMITH (LPC) best known for clinically?
Directory data describes MINDIE ADELE SMITH (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MINDIE ADELE SMITH (LPC) list a practice location?
Patients near Kalamazoo, Michigan may find MINDIE ADELE SMITH (LPC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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