Individual provider Active NPI

Jillian Sara Smith, LMFT

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1992489512
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154335 Issued in CA
Practice address
5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569
Phone
(424) 331-9070
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 154335 CA Primary

Addresses

Primary practice location

5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569

Mailing address

217 5TH St # a
Manhattan Beach, CA 90266-5709
Phone (424) 248-4143

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
I20250606001564 CA Practitioner - Marriage and Family Therapist 5193235455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kohan International FoundationGroup PAC ID 6406169820, 5 clinicians

Practice addresses (Care Compare)

5601 W Slauson Ave
Suite 192
Culver City, CA 90230-6569
Phone (424) 331-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
154335CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kohan International Foundation Marriage & Family Therapist CurrentSince Mar 29, 2025 Accepting new patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist CurrentSince Dec 14, 2025 Accepting new patients
Jiva Mental Health PastSince Mar 3, 2024 Accepting new patients
Serene Health Past Accepting new patients

Locations

5601 W Slauson Ave
Ste 192
Culver City, CA 90230
Phone (310) 968-6648

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1992489512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 5TH ST # A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665709",
            "telephone_number": "424-248-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 192",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306569",
            "telephone_number": "424-331-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILLIAN",
        "middle_name": "SARA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.