Individual provider Active NPI

Rebecca Elizabeth Moir-Evans

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1285411470
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
126577 Issued in CA
Practice address
1011 Pacific St
San Luis Obispo, CA 93401-3600
Phone
(805) 270-5830
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 126577 CA Primary

Addresses

Primary practice location

1011 Pacific St
San Luis Obispo, CA 93401-3600

Mailing address

3500 Bullock LN SPC 39
San Luis Obispo, CA 93401-7152
Phone (805) 439-3856

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

LicenseStateTypeSpecialty
126577CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexann Calabash Masiko-Meyer Summer Sessions Counseling Marriage & Family Therapist CurrentSince Sep 17, 2023 Accepting new patients

Locations

1011 Pacific St
San Luis Obispo, CA 93401
Phone (805) 270-5830

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1285411470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BULLOCK LN SPC 39",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017152",
            "telephone_number": "805-439-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013600",
            "telephone_number": "805-270-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIR-EVANS",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126577",
            "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 Sep 11, 2023; 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.