SHYNELLE A. SMITH MFT
NPI 1124428594
Counselor - Professional in Ceres, CA

Active since September 03, 2014
1904 RICHLAND AVE, CERES, CA 95307(209) 552-2862 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, May 10, 2017 (2 updates tracked since 2017).

About Shynelle A. Smith Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHYNELLE A. SMITH MFT (NPI 1124428594) is an individual professional provider in Ceres, California, licensed in California (AMFT124110) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1124428594
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHYNELLE A. SMITHCredential: MFT
Location Address1904 RICHLAND AVECeres, CA 95307-4562
Mailing Address1904 Richland AveCeres, CA 95307-4562 · (209) 552-2862
Sole ProprietorNo
Enumeration DateSeptember 3, 2014
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1124428594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · AMFT124110
1904 RICHLAND AVE, Ceres, CA 95307

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician
1904 RICHLAND AVE
CERES, CA 95307
Marriage & Family Therapist
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Professional)
1904 RICHLAND AVE
CERES, CA 95307
Psychiatric Hospital
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Mental Health)
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Social Worker (Clinical)
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shynelle Smith's NPI number?

The NPI number for Shynelle Smith is 1124428594. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Shynelle Smith located?

Shynelle Smith practices at 1904 Richland Ave, Ceres, CA 95307. The listed phone number is (209) 552-2862.

What is Shynelle Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shynelle Smith was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.