Active NPI
Sally J Braithwaite, MA
- Mental Health Counselor
- Santa Barbara, CA
National Provider Identifier
1982889663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00009296
- Practice address
- 300 N San Antonio Rd
Santa Barbara, CA 93110-1316 - Phone
- (805) 681-5220
- Fax
- (805) 865-1954
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 00009296 | WA | Primary |
Addresses
Primary practice location
300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Mailing address
241 Ocean View Ave Apt O
Pismo Beach, CA 93449-2658
Phone (805) 865-1943
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 00009296 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1982889663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 OCEAN VIEW AVE APT O",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934492658",
"telephone_number": "805-865-1943",
"fax_number": "805-865-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N SAN ANTONIO RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101316",
"telephone_number": "805-681-5220",
"fax_number": "805-865-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAITHWAITE",
"first_name": "SALLY",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00009296",
"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 31, 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.