Individual provider Active NPI

Jennifer Sidhwa, LCSW

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1053661496
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4141 State St
Santa Barbara, CA 93110-1814
Phone
(805) 681-7144
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4141 State St
Santa Barbara, CA 93110-1814

Mailing address

1236 Chapala St
Calm
Santa Barbara, CA 93101-3116
Phone (805) 896-4888

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
I20200313001400 CA Practitioner - Clinical Social Worker 6002244613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Indian Health and Services CorporationGroup PAC ID 3375527880, 11 clinicians

Practice addresses (Care Compare)

4141 State St
B2
Santa Barbara, CA 93110-1851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Indian Health & Services Corporation CurrentSince Mar 2, 2020 Accepting new patients
American Indian Health & Services Corporation PastSince Sep 15, 2019 Accepting new patients

Locations

4141 State St
Santa Barbara, CA 93110
Phone (805) 681-7144

4141 State St
Ste B2
Santa Barbara, CA 93110
Phone (805) 681-7144

4141 State St
Ste B11
Santa Barbara, CA 93110
Phone 8056817144 ext. 216

Interoperability endpoints

  • Direct secure messaging: jennifer.sidhwa.p1@direct.aihs.nextgenshare.com

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1053661496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "address_2": "CALM",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-896-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-681-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHWA",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.