Healthcare Provider Details

I. General information

NPI: 1720708852
Provider Name (Legal Business Name): BACKPOCKET COUNSELING SERVICES APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5266 HOLLISTER AVE STE 210
SANTA BARBARA CA
93111-4040
US

IV. Provider business mailing address

5266 HOLLISTER AVE STE 210
SANTA BARBARA CA
93111-4040
US

V. Phone/Fax

Practice location:
  • Phone: 310-999-9055
  • Fax:
Mailing address:
  • Phone: 310-999-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRANDI ROXANNE DAVIS
Title or Position: OWNER
Credential: M.A.,LMFT
Phone: 310-999-9055