KATELYN RENEE MAYBERRY
NPI 1184579864
Counselor - Addiction (Substance Use Disorder) in San Luis Obispo, CA

Active since February 27, 2026
1551 BISHOP ST STE 520, SAN LUIS OBISPO, CA 93401(805) 461-5212 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Renee Mayberry NPPES

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

KATELYN RENEE MAYBERRY (NPI 1184579864) is an individual addiction (substance use disorder) provider in San Luis Obispo, California and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1184579864
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameKATELYN RENEE MAYBERRY
Location Address1551 BISHOP ST STE 520San Luis Obispo, CA 93401-4665
Mailing Address1043 Balboa StMorro Bay, CA 93442-2410
Sole ProprietorNo
Enumeration DateFebruary 27, 2026
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1184579864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1551 BISHOP ST STE 520, San Luis Obispo, CA 93401

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Methadone)
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
Allergy & Immunology
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
Specialist
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
Physician Assistant
1551 BISHOP ST STE 520
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 Katelyn Mayberry's NPI number?

The NPI number for Katelyn Mayberry is 1184579864. It was assigned to this individual provider in the NPPES registry on February 27, 2026.

Where is Katelyn Mayberry located?

Katelyn Mayberry practices at 1551 Bishop St Ste 520, San Luis Obispo, CA 93401. The listed phone number is (805) 461-5212.

What is Katelyn Mayberry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Katelyn Mayberry was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.