Organization Active NPI

Kirsten Angeliyan Marriage and Family Therapy, Professional Corporatio

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1780468389
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KIRSTEN ANGELIYAN MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATIO
Practice address
4103 Bernardo Dr
San Luis Obispo, CA 93401-6250
Phone
(805) 996-0828
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Kirsten Larsen Angeliyan, LMFTNPI 1699174466
Title
Ceo
Phone
(805) 996-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4103 Bernardo Dr
San Luis Obispo, CA 93401-6250

Mailing address

4103 Bernardo Dr
San Luis Obispo, CA 93401-6250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1780468389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BERNARDO DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BERNARDO DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016250",
            "telephone_number": "805-996-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTEN ANGELIYAN MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "ANGELIYAN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "LARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-996-0828",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Aug 23, 2023; 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.