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MRS. JACQULINE GAIL SMYTHE MFC 43231
NPI 1265591085
Marriage & Family Therapist in Lakeport, CA

Active since December 07, 2006PECOS Enrolled
55 1ST ST # 305I, LAKEPORT, CA 95453(707) 349-2586(707) 274-9192 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacquline Gail Smythe Mfc 43231 NPPES

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

MRS. JACQULINE GAIL SMYTHE MFC 43231 (NPI 1265591085) is an individual marriage & family therapist in Lakeport, California, licensed in California (MFC 43231) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265591085
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JACQULINE GAIL SMYTHECredential: MFC 43231
Location Address55 1ST ST # 305ILakeport, CA 95453-4839
Mailing Address3542 Crestwood DrKelseyville, CA 95451-8602 · (707) 349-2586 · Fax (707) 263-4662
Phone(707) 349-2586
Fax(707) 274-9192
Sole ProprietorYes
Enumeration DateDecember 7, 2006
Last NPPES UpdateJanuary 23, 2020
✔ NPI 1265591085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 43231
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
55 1ST ST # 305I, Lakeport, CA 95453
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Other Identifiers 1

Medicaid1265591085CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacquline Gail Smythe Mfc 43231 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jacquline Smythe's NPI number?

The NPI number for Jacquline Smythe is 1265591085. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Jacquline Smythe located?

Jacquline Smythe practices at 55 1st St # 305I, Lakeport, CA 95453. The listed phone number is (707) 349-2586.

What is Jacquline Smythe's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacquline Smythe enrolled in Medicare?

Yes. Jacquline Smythe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquline Smythe was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.