=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477902476
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JANUS COUNSELING CENTER A MARRIAGE AND FAMILY THERAPY GROUP PROF CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2016
-----------------------------------------------------
Last Update Date | 07/31/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 S HOPE AVE STE A107
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-5023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-680-6292
-----------------------------------------------------
Fax | 805-770-5279
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 350 S HOPE AVE STE A107
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-5023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-680-6292
-----------------------------------------------------
Fax | 805-770-5279
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/PRESIDENT
-----------------------------------------------------
Name | DR. MICHAEL ANTHONY VOGEL
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 805-680-6292
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 92534
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------