Individual provider Active NPI

Mahnaz Anissian, MFT, PHD.

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1891070595
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46473 Issued in CA
Practice address
1114 State St
Suite 245
Santa Barbara, CA 93101-2717
Phone
(805) 617-3839
NPI assigned
Oct 13, 2011
Last updated
Apr 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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 MFC46473 CA Primary

Addresses

Primary practice location

1114 State St
Suite 245
Santa Barbara, CA 93101-2717

Mailing address

1187 Coast Village Rd
Suite 186
Santa Barbara, CA 93108-2737
Phone (805) 617-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 18, 2025 through Feb 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC46473CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1891070595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD",
            "address_2": "SUITE 186",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-617-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 STATE ST",
            "address_2": "SUITE 245",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012717",
            "telephone_number": "805-617-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISSIAN",
        "first_name": "MAHNAZ",
        "name_prefix": "Dr.",
        "credential": "MFT, PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.