Individual provider Active NPI

Joanne Brita Klausner, MFT-I

  • Mental Health Counselor
  • Santa Maria, CA
National Provider Identifier
1255671509
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
73595 INTERN Issued in CA
Practice address
105 N Lincoln St
Santa Maria, CA 93458-4319
Phone
(805) 928-1707
NPI assigned
Feb 25, 2013
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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 73595 INTERN CA Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

105 N Lincoln St
Santa Maria, CA 93458-4319

Mailing address

105 N Lincoln St
Santa Maria, CA 93458-4319

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
73595 INTERNCAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1255671509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N LINCOLN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LINCOLN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584319",
            "telephone_number": "805-928-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUSNER",
        "first_name": "JOANNE",
        "middle_name": "BRITA",
        "credential": "MFT-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "73595 INTERN",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.