Individual provider Active NPI

Taryn Holvick-Wells, LMFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1205209947
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT103643 Issued in CA
Practice address
26 W Mission St Ste 4
Santa Barbara, CA 93101-2432
Phone
(805) 453-0133
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IMF87547 CA
Mental Health Counselor 101YM0800X IMF87547 CA
Marriage & Family Therapist 106H00000X LMFT103643 CA Primary

Addresses

Primary practice location

26 W Mission St Ste 4
Santa Barbara, CA 93101-2432

Mailing address

26 W Mission St Ste 4
Santa Barbara, CA 93101-2432

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF87547CAMDAddiction (Substance Use Disorder) Counselor
LMFT103643CAMDMarriage & Family Therapist
103643CAMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1205209947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W MISSION ST STE 4",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W MISSION ST STE 4",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012432",
            "telephone_number": "805-453-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLVICK-WELLS",
        "first_name": "TARYN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "IMF87547",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF87547",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT103643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.