MRS. MARY COLEEN BLOUT


Address: 277 South St Ste Y, San Luis Obispo, CA 93401-5039
Phone: 8053059219

MRS. MARY COLEEN BLOUT (NPI# 1265764757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265764757
Entity Type Individual
Full Name MRS. MARY COLEEN BLOUT
Practice Address 277 South St Ste Y
San Luis Obispo
CA 93401-5039
Mailing Address Po Box 15408
San Luis Obispo
CA 93406-5408
Practice Telephone 8053059219
Mailing Telephone 8053059219
Enumeration Date 2010-02-08
Last Update Date 2010-02-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 277 SOUTH ST STE Y
City SAN LUIS OBISPO
State CA
Zip Code 93401-5039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336207802 Transitions Mental Health Case Management 277 South St Ste Y, Box 15408, San Luis Obispo, CA 93401-5039 2006-12-05
1821353780 Ezery Kennedy Jr. Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2012-07-06
1407110273 Connor Culhane Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2012-06-27
1376857748 Kyle Campbell Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2010-07-28
1265745822 Shea Scheuer Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2010-07-23
1710205281 Amy Carl Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2010-05-08
1124345129 Katie Stewart Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2010-04-29
1023331386 Whitney Ford Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2010-03-01
1407178130 Kailee Klebba Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2010-02-22
1942539655 Amanda Nicole Maciel Mcbride Counselor 277 South St Ste Y, San Luis Obispo, CA 93401-5039 2009-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023636859 Gemi Bertran Counselor 668 Marsh St Ste 9, San Luis Obispo, CA 93401-3931 2020-07-08
1609430701 Hallelujah Aimee Adams Counselor 641 Higuera St Ste 202, San Luis Obispo, CA 93401-0508 2019-04-24
1730657842 Jason Carr Counselor 955 Monterey St, San Luis Obispo, CA 93401-3259 2018-11-06
1730670738 Venessa Monique Andrade Counselor 2178 Johnson Ave # 93401, San Luis Obispo, CA 93401-4535 2018-05-24
1528561735 Kardell Eugene Counselor 2178 Johnson Ave Ste 2, San Luis Obispo, CA 93401-4535 2018-03-14
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1568844843 Ryan Julie Perisho Counselor 51 Zaca Ln, San Luis Obispo, CA 93401-7399 2015-06-23
1568771855 Stephanie Rose Valliere Counselor 894 Meinecke Ave Ste D, San Luis Obispo, CA 93405-3700 2010-10-04
1417283573 Linda Louise Quesenberry Counselor 227 South St, San Luis Obispo, CA 93401 2009-10-26
1386829174 Transitions - Mental Health Association Counselor 1306 Nipomo St, San Luis Obispo, CA 93401-3935 2007-12-31
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Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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