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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARYN SMILEY LMFT
NPI 1821746959
Marriage & Family Therapist in San Antonio, TX

Active since March 17, 2022PECOS EnrolledAccepts Medicare Assignment
315 N SAN SABA STE 1003, SAN ANTONIO, TX 78207(210) 261-3100(210) 261-3742 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Nov 20, 2023, May 16, 2022 (3 updates tracked since 2022).

About Karyn Smiley Lmft NPPES

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

KARYN SMILEY LMFT (NPI 1821746959) is an individual marriage & family therapist in San Antonio, Texas, licensed in Texas (203652) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821746959
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKARYN SMILEYCredential: LMFT
Location Address315 N SAN SABA STE 1003San Antonio, TX 78207-3100
Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1060 · Fax (210) 261-1821
Phone(210) 261-3100
Fax(210) 261-3742
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 17, 2022
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1821746959 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 TX · 203652
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.
315 N SAN SABA STE 1003, San Antonio, TX 78207
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Secondary Practice Location 1

Location 1540 Oak Centre Dr Ste 205San Antonio, TX 78258-4767 · Phone (844) 824-8775

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First and more.Insurance ›

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

Karyn Smiley Lmft 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 ID6406205202
PECOS Enrollment IDI20231205002580
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 Reassignments

2

Medicare enrollment records show Karyn Smiley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bexar County Board Of Trustees For Mental Health Mental Retardation
5.0 mi
Family Medicine
6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
NPI 1679948392 (210) 261-1000
Mental Health Specialty Group PA
1,225 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Texas enrollment
  • 315 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 12

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

AMY MATSON WALLDREN LMSW
Social Worker
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3104
NOOR ELQADI CAMPBELL
Counselor (Professional)
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3100
GILLIAN JINGWA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3100
ERIKA VON LOEWE LPC
Counselor (Professional)
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3100
DR. KRISTIN WILLIAMS VAUGHAN M.D.
Pediatrics
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 704-3718
NICOLE R BERMEJILLO
Counselor (Professional)
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3100
KELLY REESE
Counselor (Professional)
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3237
JEANETTE BLANCO LPC
Counselor (Professional)
315 N SAN SABA STE 1003
SAN ANTONIO, TX 78207
Bexar County (210) 261-3100

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 Karyn Smiley's NPI number?

The NPI number for Karyn Smiley is 1821746959. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Karyn Smiley located?

Karyn Smiley practices at 315 N San Saba Ste 1003, San Antonio, TX 78207. The listed phone number is (210) 261-3100.

What is Karyn Smiley's specialty?

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

Is Karyn Smiley enrolled in Medicare?

Yes. Karyn Smiley 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 organizations bill Medicare for Karyn Smiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karyn Smiley reassigns Medicare benefits to 2 organizations: Bexar County Board Of Trustees For Mental Health Mental Retardation (San Antonio, TX) and Mental Health Specialty Group PA (Durham, NC). Each 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 Karyn Smiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karyn Smiley accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First and UnitedHealthcare list Karyn Smiley 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 Karyn Smiley was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.