Pablo Bayo, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF56524 Issued in CA

Practice address

2259 Myrtle Ave
Changing Tides Family Services
Eureka, CA 95501-3325

Phone

(707) 444-8293

Fax

(707) 444-8298

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1891847307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955020469",
            "telephone_number": "707-228-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 MYRTLE AVE",
            "address_2": "CHANGING TIDES FAMILY SERVICES",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013325",
            "telephone_number": "707-444-8293",
            "fax_number": "707-444-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYO",
        "first_name": "PABLO",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF # 56524",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "391",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF56524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bauer
• James Kim Bauriedel, M.D.
• Katelyn Molly Bawcom, STUDENT INTERN
• Deanna Bay
• Allison Bayne
• Turner G Bazen, AMFT
• Benjamin Sumner Beach, MSW, ASW
• Colby Shane Beach
• Julie A Beach, MFT
• Nanine Beal

• Mental Health Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.