Active NPI
Jessica Marie Korsan, MFT
- Marriage & Family Therapist
- Santa Barbara, CA
National Provider Identifier
1902376981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 52877
- Practice address
- 5385 Hollister Ave BLDG 14
Santa Barbara, CA 93111-2389 - Phone
- (805) 403-2348
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 52877 | CA | Primary |
Addresses
Primary practice location
5385 Hollister Ave BLDG 14
Santa Barbara, CA 93111-2389
Mailing address
5385 Hollister Avenue, Building 14, Box 102
Santa Barbara, CA 93111
Phone (805) 403-2348
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52877 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1902376981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5385 HOLLISTER AVENUE, BUILDING 14, BOX 102",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93111",
"telephone_number": "805-403-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 HOLLISTER AVE BLDG 14",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112389",
"telephone_number": "805-403-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORSAN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52877",
"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 Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.