Active NPI
Irianna Montes
- Marriage & Family Therapist
- San Luis Obispo, CA
National Provider Identifier
1336284124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT112736
- Practice address
- 2494 Pennington Creek Rd
San Luis Obispo, CA 93405-7841 - Phone
- (805) 782-7388
- NPI assigned
- Feb 20, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 62520 | CA | |
| Rehabilitation Counselor | 225C00000X | |||
| Marriage & Family Therapist | 106H00000X | LMFT112736 | CA | Primary |
Addresses
Primary practice location
2494 Pennington Creek Rd
San Luis Obispo, CA 93405-7841
Mailing address
PO Box 641
Atascadero, CA 93423-0641
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 |
|---|---|---|---|
| LMFT112736 | CA | MD | Marriage & Family Therapist |
| 62520 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1336284124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934230641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 PENNINGTON CREEK RD",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934057841",
"telephone_number": "805-782-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "IRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "62520",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT112736",
"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 27, 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.