MS. C JILL PESAVENTO MFT
NPI 1336530492
Marriage & Family Therapist in San Luis Obispo, CA

Q: What is C Pesavento's NPI number?

The NPI number for C Pesavento is 1336530492. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Q: What is C Pesavento's specialty?

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

Q: Is C Pesavento enrolled in Medicare?

No. C Pesavento has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for C Pesavento was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 11, 2015Opted out of Medicare · through Jan 1, 2028

11555 LOS OSOS VALLEY RD, SUITE 203, SAN LUIS OBISPO, CA 93405(805) 440-8555(805) 771-9189 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. C Jill Pesavento Mft NPPES

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

MS. C JILL PESAVENTO MFT (NPI 1336530492) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (50471) and active in the NPI registry since February 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1336530492

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. C JILL PESAVENTOCredential: MFT

Location Address11555 LOS OSOS VALLEY RD, SUITE 203San Luis Obispo, CA 93405-6472

Mailing Address11555 Los Osos Valley Rd, Suite 203San Luis Obispo, CA 93405-6472 · (805) 440-8555 · Fax (805) 771-9189

Phone(805) 440-8555

Fax(805) 771-9189

Sole ProprietorYes

Enumeration DateFebruary 11, 2015

✔ NPI 1336530492 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 · 50471

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.

11555 LOS OSOS VALLEY RD, San Luis Obispo, CA 93405

Open in Google Maps ↗

Other Identifiers 1

Other50471CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. C Jill Pesavento Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

DR. JOSEPH T. ALIOTO PH.D.

Psychologist (Clinical)

11555 LOS OSOS VALLEY RD, SUITE 204
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 544-0699

MS. KRISTI MICHELLE MILLS LCSW

Social Worker (Clinical)

11555 LOS OSOS VALLEY RD, SUITE 206
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 704-1530

MS. CYNTHIA CALDEIRA MFTI

Marriage & Family Therapist

11555 LOS OSOS VALLEY RD, 206
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 459-7168

VICKI POBOR

Marriage & Family Therapist

11555 LOS OSOS VALLEY RD, SUITE 203
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 441-1489

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 C Pesavento's NPI number?

The NPI number for C Pesavento is 1336530492. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is C Pesavento located?

C Pesavento practices at 11555 Los Osos Valley Rd Suite 203, San Luis Obispo, CA 93405. The listed phone number is (805) 440-8555.

What is C Pesavento's specialty?

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

Is C Pesavento enrolled in Medicare?

No. C Pesavento has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for C Pesavento was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.