Provider Demographics
NPI:1265771935
Name:LUMPKIN, LOUIS JERALD III (LMFT)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:JERALD
Last Name:LUMPKIN
Suffix:III
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:LJ
Other - Middle Name:
Other - Last Name:LUMPKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:37 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103
Mailing Address - Country:US
Mailing Address - Phone:805-563-1916
Mailing Address - Fax:
Practice Address - Street 1:1601 CARMEN DR STE 215C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3105
Practice Address - Country:US
Practice Address - Phone:831-809-4634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1265771935Medicaid