Carole Jane Reynolds Ingraham, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT31159 Issued in CA

Practice address

805 Fellowship Rd
Santa Barbara, CA 93109-1218

Phone

(805) 886-2918

NPI assigned

Sep 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 2, 2024 through Jul 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1992428551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FELLOWSHIP RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091218",
            "telephone_number": "805-886-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FELLOWSHIP RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091218",
            "telephone_number": "805-886-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS INGRAHAM",
        "first_name": "CAROLE",
        "middle_name": "JANE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT31159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Thalia Reyes, MA, LMFT159072
• Jonathan Reyes
• Kristina Reyes, PHARMD
• Marina Gabriela Reyes
• Zachary Joseph Reynard, OD
• Dusstyn Dean Reynolds, DO
• Kaylie Reynolds, MA, LMFT
• Emily Reynoso
• Rafael A. Reynoso, D.C.
• Andrew S Rhinehart, MD, FACP, FACE, CDCE

• Marriage & Family Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.