Individual provider Active NPI

Jonathan Khanh Truong

  • Counselor
  • Santa Barbara, CA
National Provider Identifier
1851029565
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12486 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
Aug 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12486 CA
Professional Counselor 101YP2500X 12486 CA
Counselor 101Y00000X 12486 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

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Wellness Center Marriage Family Therapy Corp. Counselor CurrentSince Sep 15, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1851029565",
    "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",
            "fax_number": "805-330-6939"
        },
        {
            "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": "TRUONG",
        "first_name": "JONATHAN",
        "middle_name": "KHANH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "12486",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12486",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "12486",
            "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 10, 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.