Paul Moerman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

277 South St
Suite Y
San Luis Obispo, CA 93401-5039

Phone

(805) 541-0107

NPI assigned

Apr 7, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Transitions-Mental Health Association

  • Mental Illness Community Based Residential Treatment Facility
  • San Luis Obispo, CA
  • NPI 1609073691
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1164665170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 OSOS ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014037",
            "telephone_number": "805-541-0107",
            "fax_number": "805-544-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST",
            "address_2": "SUITE Y",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015039",
            "telephone_number": "805-541-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERMAN",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mobley, CADCII
• Jessica Lynn Mock
• Modesto Radiological Medical Group, Inc
• Tania Lynn Moeller
• Tiffany A Moenoa
• Paul Matthew Moffatt
• Maryam Mohamadi
• Hamza Mohamed Ali
• Farnaz Mohammadi
• Neal T Mohr

• Mental Health Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.