MEDICARE: SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1144158197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS

Provider Business Mailing Address
First Line	:	315 CAMINO DEL REMEDIO RM 215
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1332
Country	:	US
Telephone Number	:	805-260-0535
Fax Number	:	805-260-0535

Provider Business Practice Location Address
First Line	:	222 CARMEN LN STE 106
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93458-7700
Country	:	US
Telephone Number	:	805-884-6872
Fax Number	:

Authorized Official
Title or Position	:	BRANCH CHIEF OF COMPLIANCE
Name	:	JESSICA MARIE KORSAN
Credential	:	LMFT
Telephone Number	:	805-683-0588

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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