ELIZABETH ASHLEY SMITH OTR/L, C/NDT
NPI 1306194527
Counselor in Santa Rosa, CA
About Elizabeth Ashley Smith Otr/l, C/ndt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ASHLEY SMITH OTR/L, C/NDT (NPI 1306194527) is an individual counselor in Santa Rosa, California and active in the NPI registry since August 2012.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Ashley Smith Otr/l, C/ndt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Elizabeth Smith's NPI number?
The NPI number for Elizabeth Smith is 1306194527. It was assigned to this individual provider in the NPPES registry on August 20, 2012.
Where is Elizabeth Smith located?
Elizabeth Smith practices at 3975 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 571-4044.
What is Elizabeth Smith's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Elizabeth Smith enrolled in Medicare?
Yes. Elizabeth Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Smith reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Smith was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elizabeth Ashley Smith, OTR/L, C/NDT · NPI 1306194527
Counselor provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since August 20, 2012.
## Identity
- **NPI:** 1306194527 (Entity type: Individual)
- **Enumerated:** August 20, 2012
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3975 OLD REDWOOD HWY, Santa Rosa, CA 95403-1719
- **Phone:** (707) 571-4044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306194527) · Data from the CMS NPPES public registry.