Individual provider Active NPI

Sierra Rose Smargon, MFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1811395569
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98697 Issued in CA
Practice address
5266 Hollister Ave Ste 205
Santa Barbara, CA 93111-4040
Phone
(805) 394-8533
Fax
(805) 330-6939
NPI assigned
Dec 11, 2014
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 84076 CA
Marriage & Family Therapist 106H00000X 98697 CA Primary

Addresses

Primary practice location

5266 Hollister Ave Ste 205
Santa Barbara, CA 93111-4040

Mailing address

5266 Hollister Ave Ste 205
Santa Barbara, CA 93111-4040
Phone (805) 394-8533

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
98697CAMDMarriage & Family Therapist
84076CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Wellness Center Marriage Family Therapy Corp. Counselor CurrentSince Sep 11, 2022 Accepting new patients

Locations

5266 Hollister Ave
Ste 205
Santa Barbara, CA 93111
Phone (805) 394-8533

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, 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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1811395569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931114040",
            "telephone_number": "805-394-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931114040",
            "telephone_number": "805-394-8533",
            "fax_number": "805-330-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARGON",
        "first_name": "SIERRA",
        "middle_name": "ROSE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "84076",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98697",
            "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 Sep 9, 2022; 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.