Organization Active NPI

Central Coast Psychotherapy Services, Inc.

  • Mental Health Counselor
  • San Luis Obispo, CA
National Provider Identifier
1649070871
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTRAL COAST PSYCHOTHERAPY SERVICES, INC.
Practice address
599 Higuera St # F-1
San Luis Obispo, CA 93401-3851
Phone
(805) 936-0140
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Adare Toral Bruington, LPCC
Title
Ceo
Phone
(805) 936-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

599 Higuera St # F-1
San Luis Obispo, CA 93401-3851

Mailing address

219 Via la Paz
San Luis Obispo, CA 93401-6962
Phone (714) 679-6194

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1649070871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 VIA LA PAZ",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016962",
            "telephone_number": "714-679-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 HIGUERA ST # F-1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013851",
            "telephone_number": "805-936-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST PSYCHOTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BRUINGTON",
        "authorized_official_first_name": "ADARE",
        "authorized_official_middle_name": "TORAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-936-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 17, 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.

Verify at the official NPI Registry.