Individual provider Active NPI

Kendre Green Sanborn

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1194096545
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113752 Issued in CA
Practice address
2034 De la Vina St
Santa Barbara, CA 93105-3814
Phone
(805) 315-8967
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 113752 CA Primary

Addresses

Primary practice location

2034 De la Vina St
Santa Barbara, CA 93105-3814

Mailing address

4991 Cervato Way
Santa Barbara, CA 93111-1952
Phone (805) 886-8236

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
I20240126001754 CA Practitioner - Marriage and Family Therapist 2668825530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113752CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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
Santa Barbara County County Auditor Current Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince May 1, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current 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

123 W Gutierrez St
Santa Barbara, CA 93101
Phone (805) 965-1001

2034 De la Vina St
Santa Barbara, CA 93105
Phone (805) 681-5450

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Interoperability endpoints

  • Direct secure messaging: kendresanborn@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1194096545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 CERVATO WAY",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111952",
            "telephone_number": "805-886-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053814",
            "telephone_number": "805-315-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "KENDRE",
        "middle_name": "GREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.