=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861218745
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JANUS COMMUNITY COUNSELING SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2024
-----------------------------------------------------
Last Update Date | 11/25/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 S HOPE AVE STE A104
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-5014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-617-3316
-----------------------------------------------------
Fax | 805-770-5279
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 350 S HOPE AVE STE A104
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-5014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-617-3316
-----------------------------------------------------
Fax | 805-770-5279
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR/BOARD PRESIDENT
-----------------------------------------------------
Name | MS. JENNIFER SUE VOGEL
-----------------------------------------------------
Credential | MFT
-----------------------------------------------------
Telephone | 805-617-3316
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------