Individual provider Active NPI

Beth Ann Kanne-Casselman, MED., LMFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1952634149
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41818 Issued in CA
Practice address
189 Hermosillo Rd
Santa Barbara, CA 93108-2414
Phone
(805) 895-6960
NPI assigned
Sep 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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 MFC41818 CA Primary

Addresses

Primary practice location

189 Hermosillo Rd
Santa Barbara, CA 93108-2414

Mailing address

462 San Ricardo Dr
Santa Barbara, CA 93111-2539
Phone (805) 895-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MFC41818CAMDMarriage & Family Therapist
41818CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1952634149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 SAN RICARDO DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112539",
            "telephone_number": "805-895-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 HERMOSILLO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082414",
            "telephone_number": "805-895-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNE-CASSELMAN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MED., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.