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MS. KATHERINE SMITH
NPI 1689972903
Counselor - Mental Health in El Segundo, CA

Active since March 10, 2011Opted out of Medicare · through Jan 22, 2028
360 N SEPULVEDA BLVD, 2075, EL SEGUNDO, CA 90245(310) 414-2090(310) 414-2096 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Katherine Smith NPPES

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

MS. KATHERINE SMITH (NPI 1689972903) is an individual mental health provider in El Segundo, California and active in the NPI registry since March 2011. She has opted out of Medicare through January 22, 2028.

NPPES Registry Identity

NPI1689972903
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KATHERINE SMITH
Location Address360 N SEPULVEDA BLVD, 2075El Segundo, CA 90245-4460
Mailing Address360 N Sepulveda Blvd, 2075El Segundo, CA 90245-4460 · (310) 414-2090 · Fax (310) 414-2096
Phone(310) 414-2090
Fax(310) 414-2096
Sole ProprietorYes
Enumeration DateMarch 10, 2011
Last NPPES UpdateMay 11, 2011
✔ NPI 1689972903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
360 N SEPULVEDA BLVD, El Segundo, CA 90245
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Katherine Smith 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 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 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 9

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

MRS. JENNIFER URNAZA MFT-INTERN
Marriage & Family Therapist
360 N SEPULVEDA BLVD, 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-2090
SHANNON MAUREEN CALDE 56075
Marriage & Family Therapist
360 N SEPULVEDA BLVD, SUITE 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 424-2090
RACHEL GRADSTEIN MFT-INTERN
Marriage & Family Therapist
360 N SEPULVEDA BLVD, SUITE 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-2090
JORDAN HINKLE MA-MFTI
Marriage & Family Therapist
360 N SEPULVEDA BLVD, SUITE 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-2090
MS. MARIA ELENA WALSH MA-MFT/I
Marriage & Family Therapist
360 N SEPULVEDA BLVD, SUITE 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-2090
DR. SUSAN MICHAEL PSY D.
Marriage & Family Therapist
360 N SEPULVEDA BLVD, SUITE 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-2090
MRS. ROBIN JOY AULGUR MFT - INTERN
Marriage & Family Therapist
360 N SEPULVEDA BLVD, SUITE 2075
EL SEGUNDO, CA 90245
Los Angeles County (310) 414-2090
XIANG ZE DOWNING L.AC.
Acupuncturist
360 N SEPULVEDA BLVD, SUITE 3000
EL SEGUNDO, CA 90245
Los Angeles County (310) 906-9888

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 Katherine Smith's NPI number?

The NPI number for Katherine Smith is 1689972903. It was assigned to this individual provider in the NPPES registry on March 10, 2011.

Where is Katherine Smith located?

Katherine Smith practices at 360 N Sepulveda Blvd 2075, El Segundo, CA 90245. The listed phone number is (310) 414-2090.

What is Katherine Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katherine Smith enrolled in Medicare?

No. Katherine Smith has opted out of Medicare through January 22, 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 Katherine Smith was last updated on May 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.