CENTRAL COAST OUTPATIENT PROGRAM (NPI# 1528150711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528150711 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST OUTPATIENT PROGRAM |
| Other Organization Name | CENTRAL COAST TREATMENT CENTER |
| Practice Address |
508 Higueroa St San Luis Obispo CA 93401 |
| Mailing Address |
16-643 Kipimana St Ste 20 Keaau HI 96749-8002 |
| Practice Telephone | 8056885057 |
| Practice Fax Number | 8055941460 |
| Mailing Telephone | 8089667453 |
| Mailing Fax Number | 8089668990 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | MRS. CATHY MEYER-UYEHARA (CEO) |
| Authorized Official Telephone | 8083865849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | MFC50208 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFC29341 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAXID | 803421070 | 01 |
| Other Name | Type Code |
|---|---|
| Central Coast Treatment Center | Other Name - Individual/Organization |
| Street Address |
508 HIGUEROA ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245868769 | Michael Mazzella | Marriage & Family Therapist | 1190 Marsh St Ste E, San Luis Obispo, CA 93401-3332 | 2020-03-30 |
| 1669005609 | Serena Jade Andrews | Marriage & Family Therapist | 1461 Higuera St Ste C, San Luis Obispo, CA 93401-2948 | 2020-02-18 |
| 1437655529 | Pamela Suraci | Marriage & Family Therapist | 3591 Sacramento Dr Ste 116, San Luis Obispo, CA 93401-7256 | 2018-04-05 |
| 1588174999 | Erin Lynn Lindvall | Marriage & Family Therapist | 895 Aerovista Pl Ste 106, San Luis Obispo, CA 93401-8725 | 2017-10-11 |
| 1053859116 | Julie Messer | Marriage & Family Therapist | 697 Higuera St, Suite D, San Luis Obispo, CA 93401-3544 | 2017-02-08 |
| 1013465210 | Pamela Kremza | Marriage & Family Therapist | 508 Higuera St, San Luis Obispo, CA 93401-3835 | 2016-09-15 |
| 1467805333 | Shelley Triggs | Marriage & Family Therapist | 1264 Higuera St Ste 100, San Luis Obispo, CA 93401-3171 | 2016-07-15 |
| 1225485147 | Melissa Carol Campe | Marriage & Family Therapist | 3392 Rockview Pl, Apt #1, San Luis Obispo, CA 93401-6787 | 2016-05-20 |
| 1194187369 | Stephanie Baisa Wilson | Marriage & Family Therapist | 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 | 2016-03-25 |
| 1134500192 | Anne Appel | Marriage & Family Therapist | 1461 Higuera Street, Suite B, San Luis Obispo, CA 93401-3722 | 2015-06-16 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on CENTRAL COAST OUTPATIENT PROGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.