Individual provider Active NPI

Shannon Velazquez, MFT

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1548064199
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
151082 Issued in CA
Practice address
27 E Victoria St Ste J
Santa Barbara, CA 93101-8743
Phone
(805) 272-0825
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 151082 CA Primary

Addresses

Primary practice location

27 E Victoria St Ste J
Santa Barbara, CA 93101-8743

Mailing address

27 E Victoria St Ste J
Santa Barbara, CA 93101-8743
Phone (805) 272-0825

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

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey Sarto-Mayes, Licensed Clinical Social Worker, Bloom Therapy & Wellness Mental Health CurrentSince Apr 6, 2025 Accepting new patients

Locations

27 E Victoria St
Ste J
Santa Barbara, CA 93101
Phone (805) 272-0825

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1548064199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E VICTORIA ST STE J",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018743",
            "telephone_number": "805-272-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E VICTORIA ST STE J",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018743",
            "telephone_number": "805-272-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "SHANNON",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "151082",
            "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 Apr 2, 2025; 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.