Individual provider Active NPI

Rachelle Clayton Smith

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1871228270
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT131581 Issued in CA
Practice address
5700 Hannum Ave Ste 150
Culver City, CA 90230-6535
Phone
(424) 351-8535
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT131581 CA Primary

Addresses

Primary practice location

5700 Hannum Ave Ste 150
Culver City, CA 90230-6535

Mailing address

PO Box 9222
Canoga Park, CA 91309-0222
Phone (310) 529-1741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT131581CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dorsey Counseling Group, Inc Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients

Locations

5700 Hannum Ave
Ste 150
Culver City, CA 90230
Phone (310) 680-4905

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1871228270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9222",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913090222",
            "telephone_number": "310-529-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HANNUM AVE STE 150",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306535",
            "telephone_number": "424-351-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON SMITH",
        "first_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT131581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.