Individual provider Active NPI

Nancy Phung-Smith, LMFT138181

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1245858026
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138181 Issued in CA
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

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
138181CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soulflo Therapy Mental Health CurrentSince Sep 1, 2024 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.

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.

Verify at the official NPI Registry.