Individual provider Active NPI

Denise Reagan, LMFT 134567

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1598915134
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134567 Issued in CA
Practice address
401 E Ocean Ave
Lompoc, CA 93436-6828
Phone
(805) 315-1428
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 134567 CA Primary

Addresses

Primary practice location

401 E Ocean Ave
Lompoc, CA 93436-6828

Mailing address

401 E Ocean Ave
Lompoc, CA 93436-6828
Phone (805) 865-6034

Other names 1

  • Denise Hernandez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722000723 CA Practitioner - Marriage and Family Therapist 1052857505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Apr 25, 2024 Accepting new patients
Santa Barbara County County Auditor Current Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Apr 25, 2024 Accepting new patients

Locations

401 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-6600

110 S C St
Ste A
Lompoc, CA 93436
Phone (805) 735-4376

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

Organizations & group practices 3

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1598915134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366828",
            "telephone_number": "805-865-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366828",
            "telephone_number": "805-315-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "DENISE",
        "credential": "LMFT 134567",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "HERNANDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.