Provider Demographics
NPI:1598082646
Name:SMITH, B. KATE (MA, LMFT#105511)
Entity Type:Individual
Prefix:MRS
First Name:B.
Middle Name:KATE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LMFT#105511
Other - Prefix:MRS
Other - First Name:BUFFY
Other - Middle Name:KATE
Other - Last Name:BACCHILEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1446
Mailing Address - Street 2:
Mailing Address - City:SUMMERLAND
Mailing Address - State:CA
Mailing Address - Zip Code:93067-1446
Mailing Address - Country:US
Mailing Address - Phone:805-699-5821
Mailing Address - Fax:
Practice Address - Street 1:4810 FOOTHILL RD
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-3073
Practice Address - Country:US
Practice Address - Phone:805-684-4107
Practice Address - Fax:805-566-5952
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF57092101Y00000X
CA105511106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor