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AEMON JAMES KOLASIENSKI PT
NPI 1306597174
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since January 13, 2022
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-4711 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aemon James Kolasienski Pt NPPES

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

AEMON JAMES KOLASIENSKI PT (NPI 1306597174) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (41518) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1306597174
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameAEMON JAMES KOLASIENSKICredential: PT
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address2178 Johnson AveSan Luis Obispo, CA 93401-4535
Phone(805) 781-4711
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1306597174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 41518
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
2178 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 20

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

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

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 Aemon Kolasienski's NPI number?

The NPI number for Aemon Kolasienski is 1306597174. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Aemon Kolasienski located?

Aemon Kolasienski practices at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 781-4711.

What is Aemon Kolasienski's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Aemon Kolasienski was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.