Reset Summer Camp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RESET SUMMER CAMP

Practice address

955 La Paz Rd
Santa Barbara, CA 93108-1023

Phone

(909) 973-4792

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Shelly Gutensohn, LMFTNPI 1699394676

Title

Clinical Director

Phone

(909) 973-4792

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Anne Gutensohn, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1699394676
  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1346949815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 VALLEYHEART DR APT 206",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041927",
            "telephone_number": "909-973-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LA PAZ RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081023",
            "telephone_number": "909-973-4792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 College St.",
            "address_2": "Sherbrooke",
            "address_purpose": "LOCATION",
            "city": "Quebec",
            "state": "QC",
            "postal_code": "J1M 1Z7",
            "country_code": "CA",
            "telephone_number": "909-973-4792",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "organization_name": "RESET SUMMER CAMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "GUTENSOHN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-973-4792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1699394676",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene B. Allen, MD,
• Lily Aliza Renn, MA
• Michael R Repik, D.O.
• Mariano Requena, MA
• Madison Indy Resendez
• Kelsey Resetco
• Laura Lee Reske, M.D.
• Respire Physiotherapy & Wellness, PC
• Theodore David Ressler
• Monica Rettenmier, M.D.

• Marriage & Family Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.