Phillipa Jean Smith, LMFT LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 45288 Issued in CA

Practice address

204 N Floral St
Suite a
Visalia, CA 93291-4957

Phone

(559) 643-6620

NPI assigned

Jun 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. P. Jean Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• P. Jean Smith LMFT

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1467842401
  NPD (past) Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1336588128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N FLORAL ST",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914957",
            "telephone_number": "559-643-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N FLORAL ST",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914957",
            "telephone_number": "559-643-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIPA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMFT  LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC 7",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS LICENSE NUMBER",
            "identifier": "MFC45288",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS LICENSE NUMBER",
            "identifier": "LPC 7",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P.",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "LMFT LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Imari Smith
• James Smith
• Jianne Rachelle Smith
• Kevin Smith, CADC-CAS
• Marie Janelle Smith
• Reagan Janae Smith
• Reghan Karlene Smith
• Roshanda Smith
• Sandy M Smith
• Shana J Smith, LMFT

• Marriage & Family Therapist in Visalia, CA
• Providers in Visalia, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.