PAUL WHITE B.S., M.A.
NPI 1023567963
Marriage & Family Therapist in San Luis Obispo, CA

Active since October 03, 2016PECOS EnrolledAccepts Medicare Assignment
1129 MARSH ST, SAN LUIS OBISPO, CA 93401(805) 543-7969 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul White B.s., M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL WHITE B.S., M.A. (NPI 1023567963) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (94615) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023567963
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePAUL WHITECredential: B.S., M.A.
Location Address1129 MARSH STSan Luis Obispo, CA 93401-3323
Mailing AddressPo Box 192Grover Beach, CA 93483-0192 · (805) 904-0037
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 3, 2016
✔ NPI 1023567963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 94615
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1129 MARSH ST, San Luis Obispo, CA 93401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul White B.s., M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496107971
PECOS Enrollment IDI20240119003172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Community/Behavioral Health
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
1129 MARSH ST
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
1129 MARSH ST
SAN LUIS OBISPO, CA 93401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul White's NPI number?

The NPI number for Paul White is 1023567963. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Where is Paul White located?

Paul White practices at 1129 Marsh St, San Luis Obispo, CA 93401. The listed phone number is (805) 543-7969.

What is Paul White's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Paul White enrolled in Medicare?

Yes. Paul White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul White reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul White was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.