Jacquline Smythe

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT43231 Issued in CA

Legal business name

JACQULINE SMYTHE

Practice address

55 1St St # 302
Lakeport, CA 95453-4839

Phone

(707) 349-2586

Fax

(707) 263-4662

NPI assigned

Nov 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacquline Gail SmytheNPI 1265591085

Title

MFT

Phone

(707) 349-2586

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquline Gail Smythe, MFC 43231

  • Marriage & Family Therapist
  • Lakeport, CA
  • NPI 1265591085
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1023319241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 CRESTWOOD DR",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954518602",
            "telephone_number": "707-349-2586",
            "fax_number": "707-263-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 1ST ST # 302",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534839",
            "telephone_number": "707-349-2586",
            "fax_number": "707-263-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQULINE SMYTHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "JACQULINE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "707-349-2586",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT43231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "MFT 43231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Dermatology of Lakeport, PC
• Intuimind Individual and Couples Counseling Inc.
• Island Mental Health Services Licensed Clinical Social Worker PC
• Jena Marie Iverson, M.ED., BCBA
• Selena Jackson, BREININGINSTITUTE
• David A. Jameson, D.C.
• Erik David Jameson, D.C.
• Patricia A Jarrard
• John Granville Jenkins, DDS
• Christopher Jensen, RRT

• Community/Behavioral Health Agency in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.