Individual provider Active NPI

Jessica Smith, LMFT117916

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1073057253
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT117916 Issued in CA
Practice address
1940 Contra Costa Blvd
Pleasant Hill, CA 94523-3034
Phone
(925) 839-0289
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF95262 CA
Marriage & Family Therapist 106H00000X LMFT117916 CA Primary

Addresses

Primary practice location

1940 Contra Costa Blvd
Pleasant Hill, CA 94523-3034

Mailing address

4100 Alhambra Ave Unit 2672
Martinez, CA 94553-8856
Phone (925) 839-0289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF95262CAMDMarriage & Family Therapist
LMFT117916CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redemption Songs Family Therapy Marriage & Family Therapist CurrentSince Jun 11, 2023 Accepting new patients
Family Paths, Inc. Past Accepting new patients

Locations

4100 Alhambra Ave
Unit 2672
Martinez, CA 94553

1940 Contra Costa Blvd
Pleasant Hill, CA 94523
Phone (925) 839-0289

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1073057253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 ALHAMBRA AVE UNIT 2672",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945538856",
            "telephone_number": "925-839-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CONTRA COSTA BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233034",
            "telephone_number": "925-839-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "credential": "LMFT117916",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2023-06-05",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF95262",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT117916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.