Individual provider Active NPI

Geoffrey Sterling Bernard, M.A., MFT

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1124198163
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48796 Issued in CA
Practice address
500 W Foster Rd
Behavioral Wellness Adult Clinic
Santa Maria, CA 93455-3620
Phone
(805) 934-6310
Fax
(805) 270-2963
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 48796 CA Primary

Addresses

Primary practice location

500 W Foster Rd
Behavioral Wellness Adult Clinic
Santa Maria, CA 93455-3620

Mailing address

PO Box 5564
Santa Maria, CA 93456-5564
Phone (805) 270-2963

Other practice location 1

145 S Gray St Ste 101
Santa Maria, CA 93455-4777
Phone (805) 270-2963

Other identifiers 1

IdentifierTypeStateIssuer
2514MedicaidCA

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
I20240126003555 CA Practitioner - Marriage and Family Therapist 4385097203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
48796CAMDPharmacist

Practice roles

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

Locations

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

500 W Foster Rd
Santa Maria, CA 93455
Phone (805) 934-6380

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1124198163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5564",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934565564",
            "telephone_number": "805-270-2963",
            "fax_number": "805-270-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FOSTER RD",
            "address_2": "BEHAVIORAL WELLNESS ADULT CLINIC",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553620",
            "telephone_number": "805-934-6310",
            "fax_number": "805-270-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S Gray St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934554777",
            "country_code": "US",
            "telephone_number": "805-270-2963",
            "fax_number": "805-270-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "GEOFFREY",
        "middle_name": "STERLING",
        "name_prefix": "Mr.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.