Individual provider Active NPI

Jacqueline Alice Smith-Ratliff, LMFT

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1629271325
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48253 Issued in CA
Practice address
7273 Murray Dr Ste 12
Stockton, CA 95210-3390
Phone
(510) 816-1265
Fax
(800) 858-8673
NPI assigned
Jun 8, 2007
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF47159 CA
Marriage & Family Therapist 106H00000X 48253 CA Primary

Addresses

Primary practice location

7273 Murray Dr Ste 12
Stockton, CA 95210-3390

Mailing address

PO Box 3665
San Leandro, CA 94578-0665
Phone (510) 258-8869

Other names 1

  • Dr. Jacqueline Alice Smith Former name

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
I20240328002311 CA Practitioner - Marriage and Family Therapist 8527405398 Practice locations: Stockton, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF47159CAMDMarriage & Family Therapist
48253CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jacqueline Smith-Ratliff, LMFT CurrentSince Feb 23, 2025 Accepting new patients
Saving Grace Community Center of the East Bay Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1629271325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3665",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945780665",
            "telephone_number": "510-258-8869",
            "fax_number": "800-858-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 MURRAY DR STE 12",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103390",
            "telephone_number": "510-816-1265",
            "fax_number": "800-858-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-RATLIFF",
        "first_name": "JACQUELINE",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF47159",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SMITH",
            "middle_name": "ALICE",
            "prefix": "DR.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.