John Fortune Medveckis, MA.,LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 W Haley St Ste 102
Santa Barbara, CA 93101-8052

Phone

(805) 966-3310

Fax

(805) 966-5582

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275609281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LA VUELTA RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HALEY ST STE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018052",
            "telephone_number": "805-966-3310",
            "fax_number": "805-966-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVECKIS",
        "first_name": "JOHN",
        "middle_name": "FORTUNE",
        "credential": "MA.,LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Esther Medina, RN
• David A Medina, MD
• Leticia Medina, D.D.S
• Regina Rae Medina, LCSW
• Vickie Medina, BSW, MSW
• Arnold Medved, M.D.
• Julie Marie Meers, OTR/L
• Sophie Ilea-Harris Meginnis, DACM, L.AC.
• Makayla Joy Meherin, MA
• Laurel J Mehler, M.D.

• Mental Health Counselor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.