Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Courtney Lyn Smith

Individual provider Professional Counselor · NPI 1053617100

MS. Courtney Lyn Smith is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Practices with Counseling Center of West Michigan LLC, a 151-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2011
Specialties on file
2

Practice location Address checks out

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304
Phone: (616) 456-1443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401014251 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1053617100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2011
Last updated in NPPESNovember 20, 2022
Certification dateNovember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Counseling Center Of West Michigan Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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