Individual provider Active NPI

Kayla Kerr Smyth

  • Marriage & Family Therapist
  • Dana Point, CA
National Provider Identifier
1124992870
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158780 Issued in CA
Practice address
32941 Buccaneer St
Dana Point, CA 92629-1314
Phone
(949) 365-6081
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 158780 CA Primary

Addresses

Primary practice location

32941 Buccaneer St
Dana Point, CA 92629-1314

Mailing address

32941 Buccaneer St
Dana Point, CA 92629-1314
Phone (949) 365-6081

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120000626 CA Practitioner - Marriage and Family Therapist 2365934130 Practice locations: San Clemente, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Clemente, CA 92672
Phone (949) 365-6081

3304 Avenida del Presidente
Apt 3
San Clemente, CA 92672-4523

3304 Avenida del Presidente Apt
Suite 3
San Clemente, CA 92672-4535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
158780CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1124992870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32941 BUCCANEER ST",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291314",
            "telephone_number": "949-365-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32941 BUCCANEER ST",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291314",
            "telephone_number": "949-365-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "KAYLA",
        "middle_name": "KERR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.