Individual provider Active NPI

Alexann Calabash Masiko-Meyer, LPCC, LPC, LCMHC

  • Professional Counselor
  • San Luis Obispo, CA
National Provider Identifier
1861027005
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11599 Issued in NC
Practice address
1011 Pacific St
Suite 200
San Luis Obispo, CA 93401
Phone
(805) 538-1836
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11599 NC Primary

Addresses

Primary practice location

1011 Pacific St
Suite 200
San Luis Obispo, CA 93401

Mailing address

1337 Descanso St
San Luis Obispo, CA 93405-4804
Phone (609) 504-3468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226002351 CA Practitioner - Mental Health Counselor 4587191820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1011 Pacific St
Suite 200
San Luis Obispo, CA 93401-3600
Phone (805) 538-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11599NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexann Calabash Masiko-Meyer Summer Sessions Counseling Professional CurrentSince Sep 22, 2024 Accepting new patients

Locations

1011 Pacific St
Ste 200
San Luis Obispo, CA 93401
Phone (408) 641-0387

1011 Pacific St
San Luis Obispo, CA 93401
Phone (805) 270-5830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1861027005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 DESCANSO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054804",
            "telephone_number": "609-504-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PACIFIC ST",
            "address_2": "SUITE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-538-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIKO-MEYER",
        "first_name": "ALEXANN",
        "middle_name": "CALABASH",
        "credential": "LPCC, LPC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.