NPIMap

Organization Active NPI

Santa Barbara County Department of Behavioral Wellness

  • Adult Mental Health Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1467707331
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Practice address
212 Carmen LN
Santa Maria, CA 93458-7769
Phone
(805) 346-7620
Fax
(805) 346-7621
NPI assigned
Jul 17, 2012
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SB CTY DEPT OF BEHAVIORAL WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Jessica Marie Korsan
Title
QCM Manager
Phone
(805) 717-8036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X CA Primary

Addresses

Primary practice location

212 Carmen LN
Santa Maria, CA 93458-7769

Mailing address

315 Camino del Remedio Ste 257
Santa Barbara, CA 93110-1332
Phone (805) 681-5220

Other names 1

  • AB 109-SM Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081226000157 CA Part B Supplier - Clinic/Group Practice 9335052083 Receives reassigned benefits from 99 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Maria, CA; Santa Barbara, CA; Carpinteria, CA; Goleta, CA; Lompoc, CA

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Santa Barbara County Ad151 organizations share this tax ID, including this one
Part of
Santa Barbara County Ad

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1467707331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CAMINO DEL REMEDIO STE 257",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5220",
            "fax_number": "805-681-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-346-7620",
            "fax_number": "805-346-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SB CTY DEPT OF BEHAVIORAL WELLNESS",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KORSAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "QCM MANAGER",
        "authorized_official_telephone_number": "805-717-8036"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AB 109-SM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AB 109-SM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.