Individual provider Active NPI

Nicole Arete Botaitis, LMFT, LPCC

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1730197146
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47319 Issued in CA
Practice address
817 Garden St Ste 200
Santa Barbara, CA 93101-7473
Phone
(805) 636-9890
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 47319 CA Primary

Addresses

Primary practice location

817 Garden St Ste 200
Santa Barbara, CA 93101-7473

Mailing address

PO Box 23337
Santa Barbara, CA 93121-3337
Phone (415) 786-7533

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47319CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Botaitis Therapy Group Corporation CurrentSince Mar 12, 2024 Accepting new patients

Locations

817 Garden St
Ste 200
Santa Barbara, CA 93101
Phone (805) 409-7513

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1730197146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23337",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931213337",
            "telephone_number": "415-786-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 GARDEN ST STE 200",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017473",
            "telephone_number": "805-636-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTAITIS",
        "first_name": "NICOLE",
        "middle_name": "ARETE",
        "name_prefix": "Ms.",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.