Individual provider Active NPI

Angela Renee Wurtzel, M.A., M.F.T

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1154537207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
33686 Issued in CA
Practice address
27 E Victoria St
Rear Cottage
Santa Barbara, CA 93101-2619
Phone
(805) 884-9794
Fax
(805) 884-9794
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 33686 CA Primary

Addresses

Primary practice location

27 E Victoria St
Rear Cottage
Santa Barbara, CA 93101-2619

Mailing address

27 E Victoria St
Rear Cottage
Santa Barbara, CA 93101-2619
Phone (805) 884-9794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
33686CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154537207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E VICTORIA ST",
            "address_2": "REAR COTTAGE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012619",
            "telephone_number": "805-884-9794",
            "fax_number": "805-884-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E VICTORIA ST",
            "address_2": "REAR COTTAGE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012619",
            "telephone_number": "805-884-9794",
            "fax_number": "805-884-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZEL",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "M.A., M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.