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MARY JANE SMITH RN, PHN, LMFT
NPI 1306223789
Marriage & Family Therapist in San Rafael, CA

Active since May 05, 2015Opted out of Medicare · through Jan 1, 2028
610 D ST STE C, SAN RAFAEL, CA 94901(415) 827-2974 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jane Smith Rn, Phn, Lmft NPPES

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

MARY JANE SMITH RN, PHN, LMFT (NPI 1306223789) is an individual marriage & family therapist in San Rafael, California, licensed in California (LMFT35490) and active in the NPI registry since May 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1306223789
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY JANE SMITHCredential: RN, PHN, LMFT
Location Address610 D ST STE CSan Rafael, CA 94901
Mailing Address610 D St Ste CSan Rafael, CA 94901-3708 · (415) 827-2974
Phone(415) 827-2974
Sole ProprietorNo
Enumeration DateMay 5, 2015
Last NPPES UpdateAugust 2, 2018
✔ NPI 1306223789 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 · LMFT35490
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.
610 D ST STE C, San Rafael, CA 94901
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Other Names 1

Other Name (5)Mary Jane Smith

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Jane Smith Rn, Phn, 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

MS. GOLDA BETH MICHELSON MFT
Marriage & Family Therapist
610 D ST STE C
SAN RAFAEL, CA 94901
Marin County (415) 272-0804

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 Mary Jane Smith's NPI number?

The NPI number for Mary Jane Smith is 1306223789. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Mary Jane Smith located?

Mary Jane Smith practices at 610 D St Ste C, San Rafael, CA 94901. The listed phone number is (415) 827-2974.

What is Mary Jane Smith's specialty?

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

Is Mary Jane Smith enrolled in Medicare?

No. Mary Jane Smith has opted out of Medicare through January 1, 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 Mary Jane Smith was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.