Shana J Smith, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106562 Issued in CA

Practice address

4034 S Demaree St
Visalia, CA 93277-9476

Phone

(559) 738-0700

Fax

(559) 738-0710

NPI assigned

Aug 17, 2018

Last updated

Jan 8, 2024By the provider in NPPES

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

Other identifiers 1

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

• Trinity Ministries Group Inc

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1780604108

  Mental Health

  NPD

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1659851731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "559-738-0700",
            "fax_number": "559-738-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "559-738-0700",
            "fax_number": "559-738-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANA",
        "middle_name": "J",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT106562",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "106562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillipa Jean Smith, LMFT LPCC
• Reagan Janae Smith
• Reghan Karlene Smith
• Roshanda Smith
• Sandy M Smith
• Sophie Mae Smith, PA
• Stacey Smith, FNP-C
• Stephen Smith IV, M.D.
• Tricia Michelle Smith, CASE MANAGER
• Vanessa Smith

• Marriage & Family Therapist in Visalia, CA
• Providers in Visalia, 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 Jan 8, 2024; 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.