JACLYN SMUCKLER (NPI# 1447857701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447857701 |
Entity Type | Individual |
Full Name | JACLYN SMUCKLER |
Credential | LMFT |
Practice Address |
1914 Monterey Blvd Hermosa Beach CA 90254-2910 |
Practice Telephone | 3102599751 |
Mailing Telephone | 3102599751 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | LMFT117016 | CA | Behavioral Health & Social Service Providers |
Street Address |
1914 MONTEREY BLVD |
City | HERMOSA BEACH |
State | CA |
Zip Code | 90254-2910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
Find all providers in zip 90254 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881214443 | Patrice Kane | Marriage & Family Therapist | 1124 17th St, Hermosa Beach, CA 90254-3302 | 2020-04-23 |
1871131185 | Rebecca Stephens | Marriage & Family Therapist | 934 Hermosa Ave Ste 11, Hermosa Beach, CA 90254-4122 | 2019-12-17 |
1154832285 | Carol Ellen Dafesh | Marriage & Family Therapist | 2401 Pacific Coast Hwy Ste 104, Hermosa Beach, CA 90254-2734 | 2017-10-16 |
1518411487 | Tristan Coopersmith | Marriage & Family Therapist | 936 Hermosa Ave, Suite 109, Hermosa Beach, CA 90254-4165 | 2016-08-09 |
1699132670 | Sharon Coulter | Marriage & Family Therapist | 2200 Pacific Coast Hwy Ste 219, Hermosa Beach, CA 90254-2701 | 2016-01-22 |
1558745240 | John Anthony Webber | Marriage & Family Therapist | 2615 Pacific Coast Hwy Ste 324, Hermosa Beach, CA 90254-2227 | 2015-07-13 |
1508263153 | Linda K. Reeves | Marriage & Family Therapist | 2309 Pacific Coast Hwy Ste 207, Hermosa Beach, CA 90254-2753 | 2014-11-25 |
1225466873 | Jeanne Quilling | Marriage & Family Therapist | 746 Monterey Blvd, Unit 5, Hermosa Beach, CA 90254-4556 | 2013-10-17 |
1750632295 | Vanessa C Volpicelli | Marriage & Family Therapist | 2200 Pacific Coast Hwy Ste 209, Hermosa Beach, CA 90254-2701 | 2012-09-24 |
1154646545 | Peter David Carter | Marriage & Family Therapist | 745 Monterey Blvd, Hermosa Beach, CA 90254-4552 | 2010-03-29 |
Find all providers in HERMOSA BEACH |
City | HERMOSA BEACH |
Zip Code | 90254 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.