Individual provider Active NPI

Michele Leong, AMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1073210357
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
137538 Issued in CA
Practice address
1011 Pacific St Ste 101
San Luis Obispo, CA 93401-3617
Phone
(805) 270-5830
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 137538 CA Primary

Addresses

Primary practice location

1011 Pacific St Ste 101
San Luis Obispo, CA 93401-3617

Mailing address

820 Plata Rd
Arroyo Grande, CA 93420-2841
Phone (408) 694-7236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
137538CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexann Calabash Masiko-Meyer Summer Sessions Counseling Marriage & Family Therapist CurrentSince Sep 22, 2024 Accepting new patients

Locations

1011 Pacific St
Ste 200
San Luis Obispo, CA 93401
Phone (408) 641-0387

1011 Pacific St
Ste 101
San Luis Obispo, CA 93401
Phone (805) 270-5830

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1073210357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PLATA RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202841",
            "telephone_number": "408-694-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PACIFIC ST STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013617",
            "telephone_number": "805-270-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "MICHELE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.