Active NPI
Randall Leigh Jost, LMFT
- Marriage & Family Therapist
- Arroyo Grande, CA
National Provider Identifier
1124186184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC25601
- Practice address
- 1106 E Grand Ave
Arroyo Grande, CA 93420-2516 - Phone
- (805) 473-7060
- Fax
- (805) 473-7124
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC25601 | CA | Primary |
Addresses
Primary practice location
1106 E Grand Ave
Arroyo Grande, CA 93420-2516
Mailing address
1106 E Grand Ave Ste B
Arroyo Grande, CA 93420-2516
Phone (805) 473-7060
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC25601 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slo County Drug & Alcohol Service | Past | Accepting new patients | |
| County of San Luis Obispo | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arroyo Grande, CA
- NPI 1932563053
-
- Community/Behavioral Health Agency
- Arroyo Grande, CA
- NPI 1316129372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1124186184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 E GRAND AVE STE B",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202516",
"telephone_number": "805-473-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 E GRAND AVE",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202516",
"telephone_number": "805-473-7060",
"fax_number": "805-473-7124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOST",
"first_name": "RANDALL",
"middle_name": "LEIGH",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC25601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.