Active NPI
Colette Mary Smiley, M.F.T.
- Marriage & Family Therapist
- Queen Creek, AZ
National Provider Identifier
1659429744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC21876
- Practice address
- 37013 N Stoneware Dr
Queen Creek, AZ 85140-5290 - Phone
- (805) 641-2100
- Fax
- (805) 641-2103
- NPI assigned
- Jan 8, 2007
- Last updated
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC21876 | CA | Primary |
Addresses
Primary practice location
37013 N Stoneware Dr
Queen Creek, AZ 85140-5290
Mailing address
37013 N Stoneware Dr
Queen Creek, AZ 85140-5290
Phone (805) 641-2100
Other names 1
- Colette Mary Smiley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC21876 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1659429744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37013 N STONEWARE DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851405290",
"telephone_number": "805-641-2100",
"fax_number": "805-641-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37013 N STONEWARE DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851405290",
"telephone_number": "805-641-2100",
"fax_number": "805-641-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "COLETTE",
"middle_name": "MARY",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC21876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLETTE",
"last_name": "SMILEY",
"middle_name": "MARY",
"credential": "M.F.T.",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.