Active NPI
Celesa Smith
- Marriage & Family Therapist
- Northridge, CA
National Provider Identifier
1497044960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 62794
- Practice address
- 19300 Rinaldi St
# 8270
Northridge, CA 91326-1651 - Phone
- (562) 343-5800
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 62794 | CA | Primary |
Addresses
Primary practice location
19300 Rinaldi St
# 8270
Northridge, CA 91326-1651
Mailing address
19300 Rinaldi St
# 8270
Northridge, CA 91326-1651
Phone (562) 343-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62794 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1497044960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19300 RINALDI ST",
"address_2": "# 8270",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913261651",
"telephone_number": "562-343-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 RINALDI ST",
"address_2": "# 8270",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913261651",
"telephone_number": "562-343-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CELESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "62794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.