San Lui Obispo Center for Change

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SAN LUI OBISPO CENTER FOR CHANGE

Practice address

285 South St
Suite M
San Luis Obispo, CA 93401-5037

Phone

(805) 544-2892

Fax

(805) 544-2887

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Lynn MorganNPI 1043474984

Title

Admin Assent

Phone

(805) 544-2892

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie L Morgan

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Luis Obispo, CA
  • NPI 1043474984
  Authorized official Same address or phone

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1841471943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST",
            "address_2": "SUITE M",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-544-2892",
            "fax_number": "805-544-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST",
            "address_2": "SUITE M",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-544-2892",
            "fax_number": "805-544-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUI OBISPO CENTER FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMIN ASSENT",
        "authorized_official_telephone_number": "805-544-2892",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David K Samanie, M.D.
• Samantha Lalush Nutrition LLC
• Deborah Sampley, D.C. Q.M.E
• Helen M Sampson, LCSW
• Nicholas Philip San Juan
• San Luis Ambulance Service, Inc.
• San Luis Chronic Pain Massage Therapy
• San Luis Coastal Unified School District
• San Luis Dermatology, Inc.
• San Luis Diagnostic Medical Associates

• Addiction (Substance Use Disorder) Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.