Individual provider Active NPI

Cynthia M Smith, M.S., M.F.T.

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1194869560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC18170 Issued in CA
Practice address
7350 El Camino Real
Suite 104
Atascadero, CA 93422-4655
Phone
(805) 462-1503
NPI assigned
Feb 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC18170 CA Primary

Addresses

Primary practice location

7350 El Camino Real
Suite 104
Atascadero, CA 93422-4655

Mailing address

7350 El Camino Real
Suite 104
Atascadero, CA 93422-4655
Phone (805) 462-1503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC18170CAMDMarriage & Family Therapist
18170CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194869560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224655",
            "telephone_number": "805-462-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224655",
            "telephone_number": "805-462-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC18170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.