Active NPI
Jordan D Robinson, MA
- Mental Health Counselor
- Santa Barbara, CA
National Provider Identifier
1891320123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 117865
- Practice address
- 123 W Gutierrez St
Santa Barbara, CA 93101-3424 - Phone
- (805) 451-3222
- NPI assigned
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 117865 | CA | Primary |
Addresses
Primary practice location
123 W Gutierrez St
Santa Barbara, CA 93101-3424
Mailing address
PO Box 3895
Santa Barbara, CA 93130-3895
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117865 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1891320123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3895",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931303895"
},
{
"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": "931013424",
"telephone_number": "805-451-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JORDAN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "117865",
"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 Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.