Individual provider Active NPI

Kailee Smith

  • Marriage & Family Therapist
  • Palm Springs, CA
National Provider Identifier
1841640497
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT107404 Issued in CA
Practice address
1430 N Fiesta Rd
Palm Springs, CA 92262-4729
Phone
(760) 333-6692
NPI assigned
Jun 14, 2016
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 IMF92667 CA
Marriage & Family Therapist 106H00000X LMFT107404 CA Primary

Addresses

Primary practice location

1430 N Fiesta Rd
Palm Springs, CA 92262-4729

Mailing address

1430 N Fiesta Rd
Palm Springs, CA 92262-4729

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
I20250505000958 CA Practitioner - Marriage and Family Therapist 1759808728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF92667CAMDMarriage & Family Therapist
LMFT107404CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of the Desert CurrentSince Mar 31, 2025 Accepting new patients

Locations

490 S Farrell Dr
Ste C208
Palm Springs, CA 92262
Phone (760) 325-4088

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1841640497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N FIESTA RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N FIESTA RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624729",
            "telephone_number": "760-333-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAILEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF92667",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT107404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.