Suzanne Meredith Smith-Ellis, ATR, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36939 Issued in CA

Practice address

23441 S Pointe Dr
Suite 130
Laguna Hills, CA 92653-1549

Phone

(949) 855-7969

Fax

(949) 855-1388

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073527149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 S POINTE DR",
            "address_2": "SUITE 130",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531549",
            "telephone_number": "949-855-7969",
            "fax_number": "949-855-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23441 S POINTE DR",
            "address_2": "SUITE 130",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531549",
            "telephone_number": "949-855-7969",
            "fax_number": "949-855-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-ELLIS",
        "first_name": "SUZANNE",
        "middle_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "ATR, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE TO PRACTICE",
            "identifier": "36939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Sivcovich, PPSC
• Robert Barry Sklar, M.D.
• Gail S Skoropad, DPT
• Karen P. Skvarna, O.D.
• Sleep & Research Centers of Southern California, LLC
• Annette R Smith, LMFT
• Derrick Garner Smith, M.S., CCC-SLP
• Jalyssa Jamille Smith
• Kristin Lynn Smith, P.T.
• Linnea V Smith, PA-C

• Marriage & Family Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.