Active NPI
Amelia Laurenson Dallenbch, MA. MFC
- Marriage & Family Therapist
- Santa Barbara, CA
National Provider Identifier
1245470905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC #44460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC #44460 | CA | MD | Marriage & 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.