Jessica Corinne Raybon, LMFT, APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1115 Toro St Ste F
San Luis Obispo, CA 93401-3321

Phone

(805) 242-3891

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1366166464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 TORO ST STE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 TORO ST STE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013321",
            "telephone_number": "805-242-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBON",
        "first_name": "JESSICA",
        "middle_name": "CORINNE",
        "credential": "LMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samuel Joseph Ray
• Raymond Pandez DDS MSD Inc
• Gary Michael Raymond, FNP
• Hailey Lynn Razo
• Albert Rea
• Benjamin Shoemaker Rea, LCSW

• Marriage & Family Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.