Active NPI
Nancy Phung-Smith, LMFT138181
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1245858026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 138181
- Practice address
- 408 Nutmeg St
San Diego, CA 92103-6214 - Phone
- (619) 356-6388
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 138181 | CA | Primary |
Addresses
Primary practice location
408 Nutmeg St
San Diego, CA 92103-6214
Mailing address
7521 El Paso St
La Mesa, CA 91942-4302
Phone (619) 337-4176
Other practice location 1
892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687
Other practice location 2
8461 Ildica St
Lemon Grove, CA 91945-4274
Phone (619) 736-1284
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
| License | State | Type | Specialty |
|---|---|---|---|
| 138181 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soulflo Therapy | Mental Health | Current | Accepting new patients |
| Anise Health Psychiatry PC | Mental Health | Past | Accepting new patients |
Locations
8697 La Mesa Blvd
Ste C
La Mesa, CA 91942
Phone (619) 850-2570
7290 Navajo Rd
Ste 105
San Diego, CA 92119
Phone (619) 356-6388
Organizations & group practices 2
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841024213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1245858026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7521 EL PASO ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919424302",
"telephone_number": "619-337-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 NUTMEG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036214",
"telephone_number": "619-356-6388"
}
],
"practiceLocations": [
{
"address_1": "892 27th St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921541444",
"country_code": "US",
"telephone_number": "619-575-4687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8461 Ildica St",
"address_purpose": "LOCATION",
"city": "Lemon Grove",
"state": "CA",
"postal_code": "919454274",
"country_code": "US",
"telephone_number": "619-736-1284",
"fax_number": "619-567-2726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHUNG-SMITH",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "LMFT138181",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "138181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.