Individual provider Active NPI

Rebecca Cervantes

  • Addiction (Substance Use Disorder) Counselor
  • Santa Barbara, CA
National Provider Identifier
1134440746
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4129 State St
Santa Barbara, CA 93110-1848
Phone
(805) 964-4795
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

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

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

Primary practice location

4129 State St
Santa Barbara, CA 93110-1848

Mailing address

4759 Loma Vista Rd
Ventura, CA 93003-2001
Phone (805) 415-1614

Other practice location 1

1756 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 383-3669 ext. 203

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
174400000XOtherCAOTHER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2018.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1134440746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032001",
            "telephone_number": "805-415-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101848",
            "telephone_number": "805-964-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1756 S Lewis Rd",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128520",
            "country_code": "US",
            "telephone_number": "805-383-3669 x203",
            "fax_number": "805-383-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "174400000X",
            "state": "CA"
        }
    ],
    "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 Oct 22, 2018; 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.