Kathleen Elizabeth Smith, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

27529 Issued in CA

Practice address

3155 College Ave
Berkeley, CA 94705-2755

Phone

(415) 522-9605

Fax

(415) 300-3433

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jerome Goldstein MD a Professional Corporation

  • Specialist
  • San Francisco, CA
  • NPI 1396882544
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1457575185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 FAIRVIEW ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091013",
            "telephone_number": "415-522-9605",
            "fax_number": "415-673-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 COLLEGE AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052755",
            "telephone_number": "415-522-9605",
            "fax_number": "415-300-3433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Hyde St",
            "address_2": "Suite 322",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094822",
            "country_code": "US",
            "telephone_number": "415-522-9605",
            "fax_number": "415-673-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "27529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Smith, LCSW
• Joanna Karen Smith, LCSW
• Jordan Smith, CNM
• Julia Ann Smith, LPCC
• Kameka Smith, RAS INTERN
• Laurence Luther Smith
• Matthew Smith, CMT
• Megan Kelly Smith, MEGAN KELLY SMITH
• Melena Smith
• Patricia Baldwin Smith, RN

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, 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 14, 2018; 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.