CHARLES MORRIS KATHERMAN - NPI 1144946104 - Peer Specialist in San Luis Obispo, CA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

On this page

About Charles Morris Katherman NPPES

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

CHARLES MORRIS KATHERMAN (NPI 1144946104) is an individual peer specialist in San Luis Obispo, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1144946104

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCHARLES MORRIS KATHERMAN

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500 · Fax (805) 540-6501

Phone(805) 540-6500

Fax(805) 540-6501

Sole ProprietorNo

Enumeration DateOctober 12, 2022

Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1144946104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

784 HIGH ST, San Luis Obispo, CA 93401

Open in Google Maps ↗