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

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: October 18, 2026.

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
Open in Google Maps ↗

Other Identifiers 1

OtherMFC28738CA · Marriage Family Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Donna Smith-burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
2.2 mi
Radiation Oncology
399 E 21ST ST
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1588273148 (909) 558-3012

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 20

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

SAC HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7100
ALMA M PALISOC M.D.
Internal Medicine
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7146
DR. BRENT EUGENE SHAKESPEARE D.D.S.
Dentist (General Practice)
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7146
DR. DANIEL NINAN D.D.S.
Dentist (General Practice)
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7146
JUDY A HART CFNP
Nurse Practitioner (Community Health)
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7100
DR. RODNEY LEE TURNER D.D.S.
Dentist (General Practice)
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7146
MRS. SUSAN O'BRIEN WALLACE PSY. D.
Psychologist (Clinical)
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7100
DR. KEVIN CHARLES SHANNON M.D.
Family Medicine
1454 E 2ND ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7146

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 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.

Where is Donna Smith-burgess located?

Donna Smith-burgess practices at 1454 E 2nd St, San Bernardino, CA 92408. The listed phone number is (909) 382-7100.

What is Donna Smith-burgess's specialty?

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

Is Donna Smith-burgess enrolled in Medicare?

Yes. Donna Smith-burgess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Donna Smith-burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Smith-burgess reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (San Bernardino, 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 Donna Smith-burgess'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 Donna Smith-burgess was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.