Mark Smith

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LAMFT-10313 Issued in AZ

Practice address

919 W Thatcher Blvd
Safford, AZ 85546-3133

Phone

(928) 792-5146

NPI assigned

Oct 8, 2010

Sex

Male

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 AZ

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

Medicare enrollment (NPD)

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.

• Gila Valley Clinic PC

  • Rural Health Clinic/Center
  • Safford, AZ
  • NPI 1740767664
  NPD (past)
• Gila Valley Clinic, PC

  • Family Medicine Physician
  • Safford, AZ
  • NPI 1255510228
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670630400000",
    "number": "1376853358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S 14TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463546",
            "telephone_number": "928-432-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W THATCHER BLVD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463133",
            "telephone_number": "928-792-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855462103",
            "country_code": "US",
            "telephone_number": "928-428-4550 x1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-10313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Shepherd, RN
• Holly Shumway
• Seth A Skinner, D.D.S.
• Bradley R Smith, D.M.D., D.H.SC.
• Lynn E Smith, MD
• Matthew Lot Smith, DDS
• Rebecca Jayne Smith, FNP-C
• Kayla Soohy, LCSW
• Southeastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Consumer-Run Services

• Marriage & Family Therapist in Safford, AZ
• Providers in Safford, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.