Active NPI
Robin Rachelle London
- Marriage & Family Therapist
- San Luis Obispo, CA
National Provider Identifier
1932828860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT129590
- Practice address
- 4251 S Higuera St Ste 300
San Luis Obispo, CA 93401-7741 - Phone
- (805) 703-3709
- NPI assigned
- Aug 24, 2022
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APCC10873 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT129590 | CA | Primary |
| Art Therapist | 221700000X | 10-198 | NU |
Addresses
Primary practice location
4251 S Higuera St Ste 300
San Luis Obispo, CA 93401-7741
Mailing address
4251 S Higuera St Ste 300
San Luis Obispo, CA 93401-7741
Phone (805) 703-3709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC10873 | CA | MD | Mental Health Counselor |
| AMFT129590 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1932828860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 S HIGUERA ST STE 300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017741",
"telephone_number": "805-703-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 S HIGUERA ST STE 300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017741",
"telephone_number": "805-703-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "ROBIN",
"middle_name": "RACHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC10873",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT129590",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": "10-198",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
- Brittany M Loe, MA, OTR/L
- Julie Y Loe, MA, ECSE
- Ly Lan Marie Vo Lofgren, LICENSED CLINICAL SO
- Megan Lomax, R.D.
- Karolyn Lavonne London, PSYCHIATRIC TECHNICI
- Kathleen Long, L.AC
- Kathleen L Long, M.D.
- Michelle Longa Karpin, CNM
- Longs Drug Stores California LLC (CVS Pharmacy #09873)
- Longs Drug Stores California LLC (CVS Pharmacy #09345)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.