Individual provider Active NPI

Vanessa Danyelle Chin, MSMFT

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1962166793
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
128432 Issued in CA
Practice address
707 Colina LN Apt B
Santa Barbara, CA 93103-2234
Phone
(949) 378-3911
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 128432 CA Primary

Addresses

Primary practice location

707 Colina LN Apt B
Santa Barbara, CA 93103-2234

Mailing address

707 Colina LN Apt B
Santa Barbara, CA 93103-2234
Phone (949) 378-3911

Other identifiers 1

IdentifierTypeStateIssuer
464019998OtherCAPRIVATE INSURANCE COMPANIES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email

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

State licenses

LicenseStateTypeSpecialty
128432CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1962166793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 COLINA LN APT B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032234",
            "telephone_number": "949-378-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 COLINA LN APT B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032234",
            "telephone_number": "949-378-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "VANESSA",
        "middle_name": "DANYELLE",
        "credential": "MSMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "128432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE COMPANIES",
            "identifier": "464019998",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "707 Colina Ln Apt B",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931032234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 27, 2021; 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.