Active NPI
Maria Jesus Caballero, CATCIV,LAADC,CCS,CCJ
- Addiction (Substance Use Disorder) Counselor
- Santa Barbara, CA
National Provider Identifier
1346508579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CJP 1731211
- Practice address
- 4436 Calle Real
Santa Barbara, CA 93110-1002 - Phone
- (805) 681-4304
- Fax
- (805) 681-4379
- NPI assigned
- Apr 25, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 960022-IV | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS-09034 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CJP 1731211 | CA | Primary |
Addresses
Primary practice location
4436 Calle Real
Santa Barbara, CA 93110-1002
Mailing address
4436 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-4304
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 |
|---|---|---|---|
| 960022-IV | CA | MD | Addiction (Substance Use Disorder) Counselor |
| CCS-09034 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| CJP 1731211 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara County Auditor | Past | Accepting new patients | |
| Sheriff'S Treatment Program | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Santa Barbara, CA
- NPI 1689468837
-
- Community/Behavioral Health Agency
- Santa Barbara, CA
- NPI 1952690448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1346508579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4436 CALLE REAL",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101002",
"telephone_number": "805-681-4304",
"fax_number": "805-681-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 CALLE REAL",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101002",
"telephone_number": "805-681-4304",
"fax_number": "805-681-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "MARIA",
"middle_name": "JESUS",
"credential": "CATCIV,LAADC,CCS,CCJ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "960022-IV",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CCS-09034",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CJP 1731211",
"primary": true
}
],
"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 Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.