SMITHA JAYAPRAKASH
NPI 1821764713
Marriage & Family Therapist in San Jose, CA

Q: What is Smitha Jayaprakash's NPI number?

The NPI number for Smitha Jayaprakash is 1821764713. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Q: What is Smitha Jayaprakash's specialty?

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

Active since August 19, 2021PECOS Enrolled

2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128(408) 975-2730 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2023, Oct 12, 2021, Aug 19, 2021 (3 updates tracked since 2021).

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About Smitha Jayaprakash NPPES

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

SMITHA JAYAPRAKASH (NPI 1821764713) is an individual marriage & family therapist in San Jose, California, licensed in California (AMFT128280) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821764713

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSMITHA JAYAPRAKASH

Location Address2400 MOORPARK AVE STE 300San Jose, CA 95128-2680

Mailing Address2400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · (408) 975-2730

Phone(408) 975-2730

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 19, 2021

Last NPPES UpdateJune 14, 20233 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1821764713 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 · AMFT128280

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.

2400 MOORPARK AVE STE 300, San Jose, CA 95128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smitha Jayaprakash is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608219316

PECOS Enrollment IDI20240209001983

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.

JEE Y LEE

Marriage & Family Therapist