Individual provider Active NPI

Lynne Goldsmith, LMFT, LCPC, NCC, MA

  • Marriage & Family Therapist
  • Gardnerville, NV
National Provider Identifier
1386836195
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01121 Issued in NV
Practice address
1255 Waterloo LN
Gardnerville, NV 89410-7403
Phone
(775) 200-0935
Fax
(775) 440-1037
NPI assigned
Aug 15, 2007
Reactivated
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP0026 NV
Marriage & Family Therapist 106H00000X 01121 NV Primary

Addresses

Primary practice location

1255 Waterloo LN
Gardnerville, NV 89410-7403

Mailing address

PO Box 82045
Las Vegas, NV 89180-2045
Phone (775) 200-0935

Other practice location 1

1559 Watasheamu Rd
Washoe Tribal Health Center
Gardnerville, NV 89460-7455
Phone (775) 265-5001

Other identifiers 1

IdentifierTypeStateIssuer
1386836195MedicaidNV

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
I20250519001849 CA Practitioner - Marriage and Family Therapist 2769900265 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP0026NVMDProfessional Counselor
01121NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Mar 9, 2025 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 2

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1386836195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82045",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891802045",
            "telephone_number": "775-200-0935",
            "fax_number": "775-440-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WATERLOO LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894107403",
            "telephone_number": "775-200-0935",
            "fax_number": "775-440-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1559 Watasheamu Rd",
            "address_2": "Washoe Tribal Health Center",
            "address_purpose": "LOCATION",
            "city": "Gardnerville",
            "state": "NV",
            "postal_code": "894607455",
            "country_code": "US",
            "telephone_number": "775-265-5001",
            "fax_number": "775-265-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "LYNNE",
        "credential": "LMFT, LCPC, NCC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "deactivation_date": "2018-09-20",
        "reactivation_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0026",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386836195",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.