Individual provider Active NPI

Desiree Michelle Garcia, LMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1942887773
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT133182 Issued in CA
Practice address
11549 Los Osos Valley Rd Ste 103
San Luis Obispo, CA 93405-6457
Phone
(805) 931-9903
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 LMFT133182 CA Primary

Addresses

Primary practice location

11549 Los Osos Valley Rd Ste 103
San Luis Obispo, CA 93405-6457

Mailing address

PO Box 1383
Arroyo Grande, CA 93421-1383
Phone (805) 931-9903

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

State licenses

LicenseStateTypeSpecialty
LMFT133182CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desiree Garcia Marriage and Family Therapy Services Professional Corporation Marriage & Family Therapist CurrentSince May 18, 2025 Accepting new patients
Derose Marriage and Family Therapy Corporation PastSince Mar 16, 2021 Accepting new patients

Locations

11549 Los Osos Valley Rd
Ste 103
San Luis Obispo, CA 93405
Phone (805) 235-7792

Organizations & group practices 2

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1942887773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934211383",
            "telephone_number": "805-931-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 LOS OSOS VALLEY RD STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056457",
            "telephone_number": "805-931-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DESIREE",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT133182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.