Individual provider Active NPI

Elaine Shaver Power, LMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1659715100
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99206 Issued in CA
Practice address
1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968
Phone
(805) 703-8870
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 99206 CA Primary

Addresses

Primary practice location

1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968

Mailing address

1744 Tierra Nueva LN
Oceano, CA 93445-9126
Phone (805) 703-8870

Other practice location 1

150 S 6th St Ste C
Grover Beach, CA 93433-2057
Phone (805) 905-5428

Other practice location 2

3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-8918

Other practice location 3

107 Nelson St
Arroyo Grande, CA 93420
Phone (805) 242-1360

Other names 1

  • Elaine Shaver Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99206CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Healing Center Marriage and Family Therapy Corp. CurrentSince Jun 6, 2021 Accepting new patients
Ken Starr MD Wellness Group Past Accepting new patients

Locations

1411 Marsh St
Ste 201
San Luis Obispo, CA 93401
Phone (805) 242-3683

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659715100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 TIERRA NUEVA LN",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459126",
            "telephone_number": "805-703-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARSH ST STE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012968",
            "telephone_number": "805-703-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S 6th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Grover Beach",
            "state": "CA",
            "postal_code": "934332057",
            "country_code": "US",
            "telephone_number": "805-905-5428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-453-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Nelson St",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "93420",
            "country_code": "US",
            "telephone_number": "805-242-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWER",
        "first_name": "ELAINE",
        "middle_name": "SHAVER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "SHAVER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.