Charlie W Smith, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT138551 Issued in CA

Practice address

1829 Market St Ste 202
San Francisco, CA 94103-7414

Phone

(415) 569-6304

Fax

(415) 449-8613

NPI assigned

Mar 31, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charles Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barton Shulman Psychotherapy, a Professional Clinical Counselor Corp

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
  • NPI 1982368957
  NPD (past)

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1992400949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 MARKET ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941037414",
            "telephone_number": "415-569-6304",
            "fax_number": "415-449-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 MARKET ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941037414",
            "telephone_number": "415-569-6304",
            "fax_number": "415-449-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLIE",
        "middle_name": "W",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT138551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "SMITH",
            "credential": "AMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cassandra Joan Smith, RN
• Catherine C Smith, M.D.
• Celeste Smith
• Charles Austin Smith, MD, MPH
• Charles S. Smith, M.D.
• Chase Smith
• Chelsey Smith
• Cheryl Jeffries Smith, M.D.
• Christine Gallagher Smith, NP
• Conor Smith, PSYD

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.