Individual provider Active NPI

Jennifer Ann Miners, LCSW

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1871136937
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92574 Issued in CA
Practice address
312 El Gaucho Rd
Santa Barbara, CA 93111-1908
Phone
(805) 453-7487
NPI assigned
Oct 22, 2019
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 92574 CA Primary

Addresses

Primary practice location

312 El Gaucho Rd
Santa Barbara, CA 93111-1908

Mailing address

312 El Gaucho Rd
Santa Barbara, CA 93111-1908
Phone (805) 453-7487

Other names 1

  • Jennifer Ann Policastri Former name

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
I20200427001166 CA Practitioner - Clinical Social Worker 6507296977 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1531 Chapala St
Suite 2
Santa Barbara, CA 93101-3047
Phone (805) 232-4023

312 El Gaucho Rd
Santa Barbara, CA 93111-1908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Miners, LCSW CurrentSince Nov 1, 2019 Accepting new patients
Jordan Witt, PH.D. Psychologist, Inc. PastSince Mar 21, 2021 Accepting new patients

Locations

1531 Chapala St
Ste 2
Santa Barbara, CA 93101
Phone (805) 232-4023

Organizations & group practices 2

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1871136937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 EL GAUCHO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111908",
            "telephone_number": "805-453-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 EL GAUCHO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111908",
            "telephone_number": "805-453-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "92574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "POLICASTRI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.