Individual provider Active NPI

Rebecca Lynn Panarra, AMFT, APCC

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1053177154
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
162606 Issued in CA
Practice address
3889 Long St Ste 200
San Luis Obispo, CA 93401-7581
Phone
(805) 724-6831
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 162606 CA Primary

Addresses

Primary practice location

3889 Long St Ste 200
San Luis Obispo, CA 93401-7581

Mailing address

783 Farroll Rd
Grover Beach, CA 93433-2649
Phone (209) 202-5870

Other practice location 1

9700 El Camino Real Ste 303
Atascadero, CA 93422-5581
Phone (805) 464-6617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
162606CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Integrative Wellness, a Marriage and Family Corp Marriage & Family Therapist CurrentSince Mar 3, 2024 Accepting new patients

Locations

3889 Long St
Ste 200
San Luis Obispo, CA 93401
Phone (805) 724-6831

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1053177154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 FARROLL RD",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332649",
            "telephone_number": "209-202-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 LONG ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017581",
            "telephone_number": "805-724-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 El Camino Real Ste 303",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934225581",
            "country_code": "US",
            "telephone_number": "805-464-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANARRA",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "162606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.