Myra Denice Smith, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF87146 Issued in CA

Practice address

11057 Basye St
El Monte, CA 91731-1655

Phone

(626) 444-0539

Fax

(626) 444-7990

NPI assigned

Apr 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1366709503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11057 BASYE ST",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311655",
            "telephone_number": "626-444-0539",
            "fax_number": "626-444-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11057 BASYE ST",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311655",
            "telephone_number": "626-444-0539",
            "fax_number": "626-444-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MYRA",
        "middle_name": "DENICE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF87146",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF87146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Smith, M.D.
• Brian Joseph Smith Jr., ATC
• Laura Marie Smith, FAMILY NP
• Leslie Neal Smith, COUNSELOR/ADDICTION
• Lisa Smith
• Social Model Recovery Systems
• Social Model Recovery Systems Inc
• Social Model Recovery Systems, Inc.
• Social Model Recovery Systems, Inc.
• Katie K Soe

• Marriage & Family Therapist in El Monte, CA
• Providers in El Monte, 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 Dec 18, 2017; 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.