Organization Active NPI

Wane Wellness

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1144094590
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WANE WELLNESS
Practice address
1114 State St Ste 201
Santa Barbara, CA 93101-2717
Phone
(805) 500-8369
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Jonathan W. Thompson IINPI 1437469103
Title
Owner
Phone
(805) 500-8369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1114 State St Ste 201
Santa Barbara, CA 93101-2717

Mailing address

1187 Coast Village Rd Ste 1-720
Santa Barbara, CA 93108-2737

National Provider Directory

National Provider Directory

Locations

1114 State St
Ste 201
Santa Barbara, CA 93101
Phone (805) 500-8369

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1144094590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 1-720",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 STATE ST STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012717",
            "telephone_number": "805-500-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-03-20",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-500-8369",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 20, 2024; 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.