DONNA SMITH-BURGESS MFT
NPI 1689896821
Marriage & Family Therapist in San Bernardino, CA

Q: What is Donna Smith-burgess's NPI number?

The NPI number for Donna Smith-burgess is 1689896821. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Donna Smith-burgess's specialty?

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

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment

1454 E 2ND ST, SAN BERNARDINO, CA 92408(909) 382-7100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Donna Smith-burgess Mft NPPES

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

DONNA SMITH-BURGESS MFT (NPI 1689896821) is an individual marriage & family therapist in San Bernardino, California, licensed in California (MFC28738) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689896821

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDONNA SMITH-BURGESSCredential: MFT

Location Address1454 E 2ND STSan Bernardino, CA 92408-0118

Mailing Address1862 Curtis StLoma Linda, CA 92354-1790 · (909) 382-7130 · Fax (909) 382-7166

Phone(909) 382-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689896821 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 · MFC28738

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.

1454 E 2ND ST, San Bernardino, CA 92408

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Other Identifiers 1

OtherMFC28738CA · Marriage Family Counselor

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna Smith-burgess Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446602478

PECOS Enrollment IDI20240116001339

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.

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.

DR. JOYCELYN MALLARI PHARM.D.

Pharmacist (Pharmacotherapy)