Individual provider Active NPI

Katie Reible

  • Addiction (Substance Use Disorder) Counselor
  • San Luis Obispo, CA
National Provider Identifier
1407773096
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1483430922 Issued in CA
Practice address
34 Prado Rd
San Luis Obispo, CA 93401-7313
Phone
(805) 457-3331
Fax
(805) 457-3332
NPI assigned
Jul 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1483430922 CA Primary

Addresses

Primary practice location

34 Prado Rd
San Luis Obispo, CA 93401-7313

Mailing address

34 Prado Rd
San Luis Obispo, CA 93401-7313
Phone (805) 457-3331

Other identifiers 1

IdentifierTypeStateIssuer
R1483430922OtherCARADT

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

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1407773096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PRADO RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017313",
            "telephone_number": "805-457-3331",
            "fax_number": "805-457-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PRADO RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017313",
            "telephone_number": "805-457-3331",
            "fax_number": "805-457-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBLE",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1483430922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADT",
            "identifier": "R1483430922",
            "state": "CA"
        }
    ],
    "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 Jul 2, 2026; 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.