Individual provider Active NPI

Eireann Elizabeth Smith, 106H00000X

  • Marriage & Family Therapist
  • Lincoln, CA
National Provider Identifier
1184752966
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106515 Issued in CA
Practice address
110 Gateway Oaks Drive, Suite 210
Lincoln, CA 95648
Phone
(916) 645-3300
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106515 CA Primary

Addresses

Primary practice location

110 Gateway Oaks Drive, Suite 210
Lincoln, CA 95648

Mailing address

4113 Pasadena Ave
Sacramento, CA 95821-2914
Phone (916) 224-0844

Other practice location 1

8421 Auburn Blvd Ste 110
Citrus Heights, CA 95610-0392
Phone (916) 531-8359

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
I20260518003625 CA Practitioner - Marriage and Family Therapist 6305315466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lumen Health and Psychological Services Inc.Group PAC ID 5799012266, 26 clinicians

Practice addresses (Care Compare)

8421 Auburn Blvd
Suite 110
Citrus Heights, CA 95610-0392
Phone (916) 531-8359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Health and Psychological Services Inc. PastSince May 8, 2019 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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1184752966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 PASADENA AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212914",
            "telephone_number": "916-224-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GATEWAY OAKS DRIVE, SUITE 210",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "95648",
            "telephone_number": "916-645-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8421 Auburn Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956100392",
            "country_code": "US",
            "telephone_number": "916-531-8359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EIREANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "106H00000X",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

Verify at the official NPI Registry.