Individual provider Active NPI

Nora Smith

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1366973117
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113463 Issued in CA
Practice address
6005 Grizzly Peak Dr
Bakersfield, CA 93311-8927
Phone
(805) 807-3625
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LMFT113463 CA
Marriage & Family Therapist 106H00000X 113463 CA Primary

Addresses

Primary practice location

6005 Grizzly Peak Dr
Bakersfield, CA 93311-8927

Mailing address

4605 Buena Vista Road Suite 600
PO Box 545
Bakersfield, CA 93311-6003
Phone (805) 807-3625

Other practice location 1

2055 Saviers Rd Ste A
Oxnard, CA 93033-3608
Phone (805) 483-2253

Other practice location 2

1300 W. Gonzales Rd.
Suite 207
Oxnard, CA 93005-0530
Phone (805) 666-1264

Other practice location 3

299 12th St
Marina, CA 93933
Phone (831) 647-7652

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240529000469 CA Practitioner - Marriage and Family Therapist 0345682944 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT113463CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Aegis Treatment Centers, LLC Past Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc PastSince Dec 25, 2018 Accepting new patients
Aegis Treatment Centers, LLC Past Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

44300 Lowtree Ave
Ste 112
Lancaster, CA 93534

1100 Melody Ln
Ste 108
Roseville, CA 95678

Organizations & group practices 5

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1366973117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BUENA VISTA ROAD SUITE 600",
            "address_2": "PO BOX 545",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933116003",
            "telephone_number": "805-807-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 GRIZZLY PEAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118927",
            "telephone_number": "805-807-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Saviers Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930333608",
            "country_code": "US",
            "telephone_number": "805-483-2253",
            "fax_number": "805-483-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W. Gonzales Rd.",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930050530",
            "country_code": "US",
            "telephone_number": "805-666-1264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 12th St",
            "address_purpose": "LOCATION",
            "city": "Marina",
            "state": "CA",
            "postal_code": "93933",
            "country_code": "US",
            "telephone_number": "831-647-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "LMFT113463",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.