Individual provider Active NPI

Joan Willicombe, M.A., PHD, LMFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1396149555
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT80497 Issued in CA
Practice address
22 W Micheltorena St Ste B
Santa Barbara, CA 93101-6525
Phone
(805) 570-0084
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT80497 CA Primary

Addresses

Primary practice location

22 W Micheltorena St Ste B
Santa Barbara, CA 93101-6525

Mailing address

661 Las Alturas Rd
Santa Barbara, CA 93103-2105
Phone (805) 570-0084

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
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT80497CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Willicombe Current Accepting new patients

Locations

22 W Micheltorena St
Ste B
Santa Barbara, CA 93101
Phone (805) 637-5438

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1396149555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 LAS ALTURAS RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032105",
            "telephone_number": "805-570-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W MICHELTORENA ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016525",
            "telephone_number": "805-570-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLICOMBE",
        "first_name": "JOAN",
        "credential": "M.A., PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT80497",
            "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 Oct 17, 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.