Active NPI
Andrea Moore McCormick, LAADC, LMFT
- Marriage & Family Therapist
- Santa Barbara, CA
National Provider Identifier
1487932224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 133724
- Practice address
- 315 Camino del Remedio Ste B
Santa Barbara, CA 93110-1332 - Phone
- (805) 884-6850
- Fax
- (805) 692-5742
- NPI assigned
- Jul 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 133724 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCI12340518 | CA |
Addresses
Primary practice location
315 Camino del Remedio Ste B
Santa Barbara, CA 93110-1332
Mailing address
315 Camino del Remedio Ste B
Santa Barbara, CA 93110-1332
Phone (805) 884-6850
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCI12340518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 133724 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara County Department of Behavioral Wellness | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Santa Barbara, CA
- NPI 1912404773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1487932224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO STE B",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-884-6850",
"fax_number": "805-692-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO STE B",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-884-6850",
"fax_number": "805-692-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE MCCORMICK",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "LAADC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "133724",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCI12340518",
"primary": false
}
],
"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 Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.