Individual provider Active NPI

Ann Kacic Bryant

  • Counselor
  • Santa Barbara, CA
National Provider Identifier
1093893950
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMF65925 Issued in CA
Practice address
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone
(805) 965-2376
Fax
(805) 963-6707
NPI assigned
Nov 1, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMF65925 CA Primary

Addresses

Primary practice location

1236 Chapala St
Santa Barbara, CA 93101-3116

Mailing address

1236 Chapala St
Santa Barbara, CA 93101-3116
Phone (805) 965-2376

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
IMF65925CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1093893950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-965-2376",
            "fax_number": "805-963-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-965-2376",
            "fax_number": "805-963-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANN",
        "middle_name": "KACIC",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "IMF65925",
            "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 Mar 27, 2012; 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.