Active NPI
Christopher William Cusick, B.S.
- Counselor
- San Luis Obispo, CA
National Provider Identifier
1245303783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3793
- Practice address
- 2178 Johnson Ave
San Luis Obispo County Mental Health Services
San Luis Obispo, CA 93401-4535 - Phone
- (805) 541-5144
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3793 | CA | Primary |
Addresses
Primary practice location
2178 Johnson Ave
San Luis Obispo County Mental Health Services
San Luis Obispo, CA 93401-4535
Mailing address
791 Price St
#135
Pismo Beach, CA 93449-2529
Phone (805) 305-5170
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3793 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1245303783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 PRICE ST",
"address_2": "#135",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934492529",
"telephone_number": "805-305-5170",
"fax_number": "805-805-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2178 JOHNSON AVE",
"address_2": "SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014535",
"telephone_number": "805-541-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSICK",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "3793",
"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 20, 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.