Individual provider Active NPI

Taylor K. Smith, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1114472024
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT120070 Issued in CA
Practice address
470 E 3Rd St
Los Angeles, CA 90013-1629
Phone
(213) 620-5712
NPI assigned
Aug 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT100656 CA
Marriage & Family Therapist 106H00000X 120070 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X LMFT120070 CA Primary

Addresses

Primary practice location

470 E 3Rd St
Los Angeles, CA 90013-1629

Mailing address

470 E 3Rd St
Los Angeles, CA 90013-1629
Phone (213) 620-5712

Other practice location 1

5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111 ext. 7158

Other practice location 2

1701 Camino Palmero St
Los Angeles, CA 90046-2902
Phone (323) 876-0550

Other practice location 3

1701 Camino Palmero St
Los Angeles, CA 90046-2902
Phone (323) 876-0550

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
120070CAMDMarriage & Family Therapist
AMFT100656CAMDMarriage & Family Therapist
LMFT120070CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. PastSince Aug 29, 2021 Accepting new patients

Organizations & group practices 1

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": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1114472024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 E 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131629",
            "telephone_number": "213-620-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131629",
            "telephone_number": "213-620-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90805",
            "country_code": "US",
            "telephone_number": "562-428-4111 x7158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Camino Palmero St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900462902",
            "country_code": "US",
            "telephone_number": "323-876-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Camino Palmero St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900462902",
            "country_code": "US",
            "telephone_number": "323-876-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAYLOR",
        "middle_name": "K.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT100656",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120070",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.