Active NPI
Kianah Corey
- Mental Health Counselor
- San Luis Obispo, CA
National Provider Identifier
1467023960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 155472
- Practice address
- 51 Zaca LN
San Luis Obispo, CA 93401-7399 - Phone
- (916) 475-3097
- NPI assigned
- Jul 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 155472 | CA | Primary |
Addresses
Primary practice location
51 Zaca LN
San Luis Obispo, CA 93401-7399
Mailing address
51 Zaca LN Ste 150
San Luis Obispo, CA 93401-7319
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 |
|---|---|---|---|
| 155472 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1467023960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 ZACA LN STE 150",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 ZACA LN",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017399",
"telephone_number": "916-475-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "KIANAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "155472",
"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 Jul 22, 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.