Individual provider Active NPI

Samantha D'Morias

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1013418649
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149119 Issued in CA
Practice address
735 State St Ste 532
Santa Barbara, CA 93101-5555
Phone
(805) 697-4488
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 149119 CA Primary

Addresses

Primary practice location

735 State St Ste 532
Santa Barbara, CA 93101-5555

Mailing address

PO Box 26211
Fresno, CA 93729-6211

Other practice location 1

6177 N Thesta St Ste 103
Fresno, CA 93710-8600
Phone (855) 223-7123

Other practice location 2

1170 Pearl St
Eugene, OR 97401
Phone (541) 743-4340

Other practice location 3

6089 N 1st St Ste 104
Fresno, CA 93710-5464
Phone (559) 825-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149119CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Soderman Family Counseling, Inc. Marriage & Family Therapist CurrentSince Nov 3, 2024 Accepting new patients
Oslc Community Programs Past Accepting new patients

Locations

735 State St
Ste 532
Santa Barbara, CA 93101
Phone (805) 697-4488

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1013418649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26211",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937296211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 STATE ST STE 532",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931015555",
            "telephone_number": "805-697-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6177 N Thesta St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937108600",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6089 N 1st St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105464",
            "country_code": "US",
            "telephone_number": "559-825-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'MORIAS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.