Individual provider Active NPI

Robert David Novack, AMFT APCC

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1083255798
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9597 Issued in CA
Practice address
409 Camino del Rio S Ste 201
San Diego, CA 92108-3505
Phone
(619) 346-4020
NPI assigned
Oct 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9597 CA Primary
Marriage & Family Therapist 106H00000X 125841 CA

Addresses

Primary practice location

409 Camino del Rio S Ste 201
San Diego, CA 92108-3505

Mailing address

PO Box 2138
Ramona, CA 92065-0936
Phone (925) 548-5206

Other practice location 1

17701 San Pasqual Valley Rd # 2022
Escondido, CA 92025-5301
Phone (443) 544-8309

Other practice location 2

17701 San Pasqual Valley Rd # 2023
Escondido, CA 92025-5301
Phone (442) 544-8310

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Apr 21, 2024 Accepting new patients
Horizon Services, Inc PastSince Oct 1, 2019 Accepting new patients

Locations

409 Camino del Rio S
Ste 201
San Diego, CA 92108
Phone (619) 346-4020

Organizations & group practices 2

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1083255798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2138",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920650936",
            "telephone_number": "925-548-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083505",
            "telephone_number": "619-346-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17701 San Pasqual Valley Rd # 2022",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920255301",
            "country_code": "US",
            "telephone_number": "443-544-8309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17701 San Pasqual Valley Rd # 2023",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920255301",
            "country_code": "US",
            "telephone_number": "442-544-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "credential": "AMFT APCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "9597",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.