Active NPI
Leyla Smith, MFT
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1063999282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123861
- Practice address
- 1170 Industrial St
Redding, CA 96002 - Phone
- (530) 722-9957
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5309 | CA | |
| Mental Health Counselor | 101YM0800X | 107736 | CA | |
| Marriage & Family Therapist | 106H00000X | 123861 | CA | Primary |
Addresses
Primary practice location
1170 Industrial St
Redding, CA 96002
Mailing address
PO Box 491750
Redding, CA 96049-1750
Phone (530) 604-5069
Other names 1
- Leyla Jolivette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1170 Industrial St
Redding, CA 96002-0734
Phone (530) 722-9957
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123861 | CA | MD | Marriage & Family Therapist |
| 107736 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Counseling Center Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Smith Counseling Services | Marriage & Family Therapist | Current | Accepting new patients |
| Medical Social Services Consultation, Inc | Past | Accepting new patients |
Locations
2135 Pine St
Redding, CA 96001
Phone (530) 276-0624
1170 Industrial St
Redding, CA 96002
Phone (530) 722-9957
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Redding, CA
- NPI 1194750547
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1154288652
-
- Case Management Agency
- Redding, CA
- NPI 1063771608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1063999282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491750",
"city": "REDDING",
"state": "CA",
"postal_code": "960491750",
"telephone_number": "530-604-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 INDUSTRIAL ST",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-722-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEYLA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "5309",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "107736",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "123861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEYLA",
"last_name": "JOLIVETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.