Individual provider Active NPI

Amelia Laurenson Dallenbch, MA. MFC

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1245470905
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC #44460 Issued in CA
Practice address
539 San Ysidro Rd
2ND Floor, Suite a
Santa Barbara, CA 93108-2195
Phone
(805) 895-1498
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC #44460 CA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

539 San Ysidro Rd
2ND Floor, Suite a
Santa Barbara, CA 93108-2195

Mailing address

1187 Coast Village Rd
Suite 101, PMB #224
Santa Barbara, CA 93108-2737
Phone (805) 895-1498

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

State licenses

LicenseStateTypeSpecialty
MFC #44460CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1245470905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD",
            "address_2": "SUITE 101, PMB #224",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-895-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 SAN YSIDRO RD",
            "address_2": "2ND FLOOR, SUITE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082195",
            "telephone_number": "805-895-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLENBCH",
        "first_name": "AMELIA",
        "middle_name": "LAURENSON",
        "name_prefix": "Mrs.",
        "credential": "MA. MFC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC #44460",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 20, 2009; 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.