Individual provider Active NPI

Elise Kelleen Tobin, MFT

  • Marriage & Family Therapist
  • Paso Robles, CA
National Provider Identifier
1649332032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37900 Issued in CA
Practice address
835 12TH St
#202
Paso Robles, CA 93446
Phone
(805) 237-4462
Fax
(805) 434-0343
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37900 CA Primary

Addresses

Primary practice location

835 12TH St
#202
Paso Robles, CA 93446

Mailing address

835 12TH St
#202
Paso Robles, CA 93446
Phone (805) 237-4462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37900CAMDMarriage & Family Therapist
37900CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elise Tobin Ms Marriage and Family Therapy Inc CurrentSince Apr 17, 2022 Accepting new patients

Locations

408 S Main St
Ste 240
Templeton, CA 93465
Phone (805) 237-4462

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649332032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 12TH ST",
            "address_2": "#202",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-237-4462",
            "fax_number": "805-434-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 12TH ST",
            "address_2": "#202",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-237-4462",
            "fax_number": "805-434-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "ELISE",
        "middle_name": "KELLEEN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.