Jolene Guilliams, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT107838 Issued in CA

Practice address

123 W Gutierrez St
Santa Barbara, CA 93101

Phone

(805) 364-2871

NPI assigned

Apr 3, 2016

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jolene Dizon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1841653110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CHINO ST APT A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931014853",
            "telephone_number": "805-364-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W GUTIERREZ ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-364-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4129 State St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101848",
            "country_code": "US",
            "telephone_number": "805-964-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 E Canon Perdido St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012242",
            "country_code": "US",
            "telephone_number": "805-364-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLIAMS",
        "first_name": "JOLENE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF79716",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT107838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "DIZON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Guerrero
• Marylee Guerrero
• Maryam Guiahi, M.D.
• Paul Anthony Guido, PHD
• Christian A Guier, MD
• Michael Guirguis
• Kathleen Tracy Gulje, MA, CCC-SP
• Charlotte Alexandria Gullap-Moore, NP
• Sandra Delora Gullett, RN
• Janet Meryl Gunson, M.ED, M.A.

• Marriage & Family Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.