MR. MATTHEW BOOTH
NPI 1255719464
Counselor - Mental Health in San Luis Obispo, CA

Active since May 08, 2015
1585 KANSAS AVE, SAN LUIS OBISPO, CA 93405(619) 300-2968 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Mar 17, 2018, Feb 27, 2018 (3 updates tracked since 2018).

About Mr. Matthew Booth NPPES

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

MR. MATTHEW BOOTH (NPI 1255719464) is an individual mental health provider in San Luis Obispo, California, licensed in California (3173) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1255719464
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MATTHEW BOOTH
Location Address1585 KANSAS AVESan Luis Obispo, CA 93405-7604
Mailing Address1585 Kansas AveSan Luis Obispo, CA 93405-7604
Sole ProprietorYes
Enumeration DateMay 8, 2015
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1255719464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 3173
1585 KANSAS AVE, San Luis Obispo, CA 93405

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
1585 KANSAS AVE
SAN LUIS OBISPO, CA 93405
Licensed Psychiatric Technician
1585 KANSAS AVE
SAN LUIS OBISPO, CA 93405
Counselor (Addiction (Substance Use Disorder))
1585 KANSAS AVE
SAN LUIS OBISPO, CA 93405
Technician
1585 KANSAS AVE
SAN LUIS OBISPO, CA 93405
Clinic/Center (Prison Health)
1585 KANSAS AVE, SHERIFF'S ADMINISTRATION ATTN CMO
SAN LUIS OBISPO, CA 93405
Nurse Practitioner (Family)
1585 KANSAS AVE
SAN LUIS OBISPO, CA 93405

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 Matthew Booth's NPI number?

The NPI number for Matthew Booth is 1255719464. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Matthew Booth located?

Matthew Booth practices at 1585 Kansas Ave, San Luis Obispo, CA 93405. The listed phone number is (619) 300-2968.

What is Matthew Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Matthew Booth was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.