MS. CAROLYN JEANNE SMITH MFT
NPI 1750463139
Marriage & Family Therapist in Willits, CA

Q: What is Carolyn Smith's NPI number?

The NPI number for Carolyn Smith is 1750463139. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Ms. Carrie Smith Mft.

Q: What is Carolyn Smith's specialty?

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

Q: Is Carolyn Smith enrolled in Medicare?

No. Carolyn 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.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Smith was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 19, 2006Opted out of Medicare · through Jan 1, 2028

175 S HUMBOLDT ST, WILLITS, CA 95490(530) 570-4474 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2019, Apr 24, 2019 (2 updates tracked since 2019).

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About Ms. Carolyn Jeanne Smith Mft NPPES

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

MS. CAROLYN JEANNE SMITH MFT (NPI 1750463139) is an individual marriage & family therapist in Willits, California, licensed in California (27544) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1750463139

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. CAROLYN JEANNE SMITHCredential: MFT

Location Address175 S HUMBOLDT STWillits, CA 95490-3511

Mailing Address175 S Humboldt StWillits, CA 95490-3511 · (530) 570-4474

Phone(530) 570-4474

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateOctober 11, 20192 updates tracked since enumeration

✔ NPI 1750463139 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 · 27544

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.

175 S HUMBOLDT ST, Willits, CA 95490

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Other Names 1

Other Name (5)Ms. Carrie Smith Mft

Other Identifiers 1

Other27544CA · Mft

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Carolyn Jeanne Smith Mft 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. DIVORA WILMA STERN LCSW

Social Worker (Clinical)

175 S HUMBOLDT ST
WILLITS, CA 95490

Mendocino County (707) 354-9911

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 Carolyn Smith's NPI number?

The NPI number for Carolyn Smith is 1750463139. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Ms. Carrie Smith Mft.

Where is Carolyn Smith located?

Carolyn Smith practices at 175 S Humboldt St, Willits, CA 95490. The listed phone number is (530) 570-4474.

What is Carolyn Smith's specialty?

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

Is Carolyn Smith enrolled in Medicare?

No. Carolyn 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.

What insurance does Carolyn Smith accept?

Health plans from Providence Health Plan list Carolyn Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Smith was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.