Healthcare Provider Details

I. General information

NPI: 1134810815
Provider Name (Legal Business Name): REBECCA GELINI MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 E CANON PERDIDO ST
SANTA BARBARA CA
93101-2242
US

IV. Provider business mailing address

122 S VENTURA AVE UNIT 205
VENTURA CA
93001-3288
US

V. Phone/Fax

Practice location:
  • Phone: 805-456-1238
  • Fax: 805-730-7503
Mailing address:
  • Phone: 415-299-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number137754
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150981
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: