Individual provider Active NPI

Deborah J Whitney, LMFT, #139267

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1912521246
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139267 Issued in CA
Practice address
676 Pismo St
San Luis Obispo, CA 93401-3945
Phone
(805) 543-7969
NPI assigned
Jun 2, 2020
Last updated
May 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2023

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 139267 CA Primary

Addresses

Primary practice location

676 Pismo St
San Luis Obispo, CA 93401-3945

Mailing address

2059 Sierra Way
San Luis Obispo, CA 93401-4523
Phone (805) 440-7973

Other practice location 1

441 Marsh St.
San Luis Obispo, CA 93401-3945
Phone (805) 234-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1912521246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 SIERRA WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014523",
            "telephone_number": "805-440-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013945",
            "telephone_number": "805-543-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Marsh St.",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013945",
            "country_code": "US",
            "telephone_number": "805-234-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "LMFT, #139267",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.