Shirley Helen Smith, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M17104 Issued in CA

Practice address

4700 Spring St
Ste 306
La Mesa, CA 91941-5263

Phone

(619) 697-0358

Fax

(619) 466-7284

NPI assigned

Oct 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366432221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "STE 306",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415263",
            "telephone_number": "619-697-0358",
            "fax_number": "619-466-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "STE 306",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415263",
            "telephone_number": "619-697-0358",
            "fax_number": "619-466-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHIRLEY",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M17104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kathryn Smith, DDS
• Kenslow Smith
• Luther Smith, M.A.
• Mark N Smith, RPH
• Rebekah Smith
• Stephanie Elizabeth Smith, ASW
• Josh Snyder, IMF
• Jessica Kim So, M.D.
• Socal Foot Care PC
• Sohn Surgical P.C.

• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.