Tracy Canning

Individual provider Active NPI Mental Health Counselor · Montecito, CA

NPI 1114091402 · NPPES record last updated Jul 8, 2007

Key facts

NPI: 1114091402
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 102 Hixon Rd
Montecito, CA 93108-2617
Phone: (805) 969-7787
NPI assigned: Nov 20, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Lyons House, Mha Mental Illness Community Based Residential Treatment Facility · Santa Barbara, CA · NPI 1942483813

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Lyons House, Mha		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

102 Hixon Rd
Montecito, CA 93108-2617

Mailing address

16 W Mission St
Suite V
Santa Barbara, CA 93101-2426

Other providers in Montecito, CA

All providers in Montecito, CA · Mental Health Counselor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.