Individual provider Active NPI

Kelly Griffin, M.F.T.

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1760774632
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45841 Issued in CA
Practice address
117 N B St
Lompoc, CA 93436-6901
Phone
(805) 737-6600
NPI assigned
May 10, 2011
Last updated
May 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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 MFC45841 CA Primary

Addresses

Primary practice location

117 N B St
Lompoc, CA 93436-6901

Mailing address

117 N B St
Lompoc, CA 93436-6901
Phone (805) 737-6600

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
I20240417003805 CA Practitioner - Marriage and Family Therapist 1850730219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC45841CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County County Auditor Current Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Feb 24, 2024 Accepting new patients
Santa Barbara County Auditor CurrentSince Feb 24, 2024 Accepting new patients

Locations

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

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1760774632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-737-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-737-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.