Audrina Smith-Conn

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110087 Issued in CA

Practice address

1335 Park Ave Ste a
Alameda, CA 94501-2277

Phone

(510) 877-0711

NPI assigned

Apr 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Child and Family Therapy With Audrina Smith Inc

  • Marriage & Family Therapist
  • Alameda, CA
  • NPI 1407783368
  NPD Authorized official
• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1629423827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PARK AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012277",
            "telephone_number": "108-770-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PARK AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012277",
            "telephone_number": "510-877-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-CONN",
        "first_name": "AUDRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Michelle Sloan
• Michele Lobatz Sloane, AMFT
• Angelica Smith Gutierrez
• Sabrina Dawn Smith Masterson
• Destiny Smith- Brown, PPSC
• Afton Smith
• Charlotte Ann Smith
• Ramon Carlos Smith II
• Latoya Smithjohnson
• Sinead Smyth, LMFT

• Marriage & Family Therapist in Alameda, CA
• Providers in Alameda, 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 Apr 26, 2023; 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.