Active NPI
Michele Connors
- Professional Counselor
- San Luis Obispo, CA
National Provider Identifier
1225908437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC21096
- Practice address
- 676 Pismo St
San Luis Obispo, CA 93401-3945 - Phone
- (805) 543-7969
- Fax
- (805) 543-0859
- NPI assigned
- Nov 11, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC21096 | CA | Primary |
Addresses
Primary practice location
676 Pismo St
San Luis Obispo, CA 93401-3945
Mailing address
185 Pendleton LN
Templeton, CA 93465-9778
Phone (310) 925-2129
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 |
|---|---|---|---|
| APCC21096 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1225908437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PENDLETON LN",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934659778",
"telephone_number": "310-925-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 PISMO ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013945",
"telephone_number": "805-543-7969",
"fax_number": "805-543-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "MICHELE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC21096",
"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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.