Individual provider Active NPI

Eva Violet Van Prooyen, MA, MFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1962643940
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43829 Issued in CA
Practice address
1187 Coast Village Rd
Suite 10-G
Santa Barbara, CA 93108-2737
Phone
(805) 845-4960
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 43829 CA Primary

Addresses

Primary practice location

1187 Coast Village Rd
Suite 10-G
Santa Barbara, CA 93108-2737

Mailing address

PO Box 50105
Santa Barbara, CA 93150-0105
Phone (805) 845-4960

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 Arts

State licenses

LicenseStateTypeSpecialty
43829CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1962643940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50105",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500105",
            "telephone_number": "805-845-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD",
            "address_2": "SUITE 10-G",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-845-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PROOYEN",
        "first_name": "EVA",
        "middle_name": "VIOLET",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.