STACY COSTOPOULOS SMITH LMFT
NPI 1174050124
Marriage & Family Therapist in Carlsbad, CA
About Stacy Costopoulos Smith Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY COSTOPOULOS SMITH LMFT (NPI 1174050124) is an individual marriage & family therapist in Carlsbad, California, licensed in California (122299) and active in the NPI registry since May 2017. She has opted out of Medicare through January 19, 2028 and maintains a secondary practice location in Escondido.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacy Costopoulos Smith Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2024 through January 19, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARLSBAD, CA 92008
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 Stacy Smith's NPI number?
The NPI number for Stacy Smith is 1174050124. It was assigned to this individual provider in the NPPES registry on May 20, 2017. The provider is also known as Stacy Costopoulos.
Where is Stacy Smith located?
Stacy Smith practices at 3088 Pio Pico Dr Ste 203, Carlsbad, CA 92008. The listed phone number is (760) 494-4394.
What is Stacy Smith's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Stacy Smith enrolled in Medicare?
No. Stacy Smith has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Stacy Smith was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Stacy Costopoulos Smith, LMFT · NPI 1174050124
Marriage & Family Therapist provider in Carlsbad, California. Individual provider, active in the CMS NPPES registry since May 20, 2017.
## Identity
- **NPI:** 1174050124 (Entity type: Individual)
- **Enumerated:** May 20, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 122299 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3088 PIO PICO DR STE 203, Carlsbad, CA 92008-1965
- **Phone:** (760) 494-4394
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174050124) · Data from the CMS NPPES public registry.