Healthcare Provider Details

I. General information

NPI: 1043018674
Provider Name (Legal Business Name): RACHEL BIDINOST MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 MOONCREST LN
SANTA MARIA CA
93455-3765
US

IV. Provider business mailing address

30 S ONTARE RD
SANTA BARBARA CA
93105-3211
US

V. Phone/Fax

Practice location:
  • Phone: 805-937-5473
  • Fax:
Mailing address:
  • Phone: 805-743-1905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number145446
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number145446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: