Individual provider Active NPI

Maricela Hidalgo

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1689195166
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT140418 Issued in CA
Practice address
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone
(805) 965-2376
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X LMFT140418 CA Primary

Addresses

Primary practice location

1236 Chapala St
Santa Barbara, CA 93101-3116

Mailing address

5266 Hollister Ave Unit B
Santa Barbara, CA 93111-2037
Phone (805) 364-2647

Other practice location 1

429 N San Antonio Rd
Santa Barbara, CA 93110-1399
Phone (805) 896-9060

Other practice location 2

8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444

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

State licenses

LicenseStateTypeSpecialty
LMFT140418CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Wellness Center Marriage Family Therapy Corp. Counselor 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.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1689195166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE UNIT B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112037",
            "telephone_number": "805-364-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-965-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 N San Antonio Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101399",
            "country_code": "US",
            "telephone_number": "805-896-9060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8945 Golf Links Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054124",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "MARICELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140418",
            "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 Mar 13, 2024; 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.