Individual provider Active NPI

Jonathan W. Thompson II

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1437469103
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134099 Issued in CA
Practice address
1114 State St Ste 201
Santa Barbara, CA 93101-2717
Phone
(805) 500-8369
NPI assigned
Oct 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120144 CA
Community Health Worker 172V00000X
Marriage & Family Therapist 106H00000X 134099 CA Primary

Addresses

Primary practice location

1114 State St Ste 201
Santa Barbara, CA 93101-2717

Mailing address

1187 Coast Village Rd Ste 1-720
Santa Barbara, CA 93108-2737
Phone (805) 500-8369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120144CAMDMarriage & Family Therapist
134099CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wane Wellness Marriage & Family Therapist CurrentSince Mar 17, 2024 Accepting new patients

Locations

5266 Hollister Ave
Ste 210
Santa Barbara, CA 93111
Phone (805) 689-6464

1114 State St
Ste 201
Santa Barbara, CA 93101
Phone (805) 500-8369

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1437469103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 1-720",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-500-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 STATE ST STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012717",
            "telephone_number": "805-500-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JONATHAN",
        "middle_name": "W.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120144",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.