Individual provider Active NPI

Kathleen Donnelly O'Neill

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1053485862
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT41402 Issued in CA
Practice address
117 N B St
Lompoc, CA 93436-6901
Phone
(805) 737-6690
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT41402 CA
Marriage & Family Therapist 106H00000X LMFT41402
Marriage & Family Therapist 106H00000X MFT41402 CA Primary

Addresses

Primary practice location

117 N B St
Lompoc, CA 93436-6901

Mailing address

117 N B St
Lompoc, CA 93436-6901
Phone (805) 737-6690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126001885 CA Practitioner - Marriage and Family Therapist 4284087156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT41402CAMDMental Health Counselor
MFT41402CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Jan 1, 2024 Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Jan 1, 2024 Accepting new patients
Santa Barbara County County Auditor Current Accepting new patients

Locations

401 E Cypress Ave
Lompoc, CA 93436
Phone (805) 737-7715

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

Organizations & group practices 3

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1053485862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-737-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-737-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "KATHLEEN",
        "middle_name": "DONNELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT41402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "LMFT41402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT41402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.