Alicia M. Mitchell, I.M.F.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF47959 Issued in CA

Practice address

107 E Micheltorena St
Phoenix of Santa Barbara
Santa Barbara, CA 93101-1905

Phone

(805) 563-1916

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952465254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 MODOC RD",
            "address_2": "NO.17",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MICHELTORENA ST",
            "address_2": "PHOENIX OF SANTA BARBARA",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011905",
            "telephone_number": "805-563-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALICIA",
        "middle_name": "M.",
        "credential": "I.M.F.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF47959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS REG NUMBER",
            "identifier": "IMF47959",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ally Misanko, AMFT
• Mission Park Health Center LLC
• Mission Pathology Consultants, Inc.
• Gina M Mistretta, O.D.
• Sandra Lee Mistretta
• Danielle Rose Mitchell I
• Jeffrey David Mitchell, OT
• Jerry Mitchell, M.D.
• Katrina Blackburn Mitchell, M.D.
• Christopher L Mjelde, DMD

• Mental Health Counselor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.