Individual provider Active NPI

Andrea Moore McCormick, LAADC, LMFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1487932224
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
133724 Issued in CA
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

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCI12340518CAMDAddiction (Substance Use Disorder) Counselor
133724CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Department of Behavioral Wellness PastSince Jul 2, 2023 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.

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

Verify at the official NPI Registry.