Alia Ali Smith, LMFT
Individual provider Active NPI Marriage & Family Therapist · Needles, CA
NPI 1780906156 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1780906156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT101247 (CA)
- Practice address
- 1600 Bailey Ave
Needles, CA 92363-3105 - Phone
- (760) 326-9313
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of San Bernardino
Practice addresses (Care Compare)
1600 Bailey Ave
Suite 2
Needles, CA 92363-3105
Phone (760) 326-9313
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250407000864 | CA | Practitioner - Marriage and Family Therapist | 4486178985 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102291 | CA | MD | Marriage & Family Therapist |
| LMFT101247 | CA | MD | Marriage & Family Therapist |
| 101247 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current |
Accepting new patients | |
| County of San Bernardino | Current |
Accepting new patients |
Locations
1600 Bailey Ave
Ste 2
Needles, CA 92363
Phone (760) 326-9313
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 102291 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT101247 | CA | Yes |
Addresses
Primary practice location
1600 Bailey Ave
Needles, CA 92363-3105
Mailing address
1600 Bailey Ave
Needles, CA 92363-3105
Phone (760) 326-9313
Other providers in Needles, CA
- Route 66 Pharmacy
- Adele Rozsa
- David C Rubio
- Carl A Russell
- Stacia Shaver
- Karl Udalve Tabora
- Knaya Corazon Tabora I
- Thrifty Payless Inc
- Tri-State Community Healthcare Center
- Tri-State Community Healthcare Center
All providers in Needles, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.