1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Counselor
  6. NPI Profile

TINA L WAGGONER
NPI 1407547490
Counselor - Mental Health in San Luis Obispo, CA

Active since May 19, 2023
784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 540-6500(805) 540-6501 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina L Waggoner NPPES

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

TINA L WAGGONER (NPI 1407547490) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1407547490
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA L WAGGONER
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 DateMay 19, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1407547490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
784 HIGH ST, San Luis Obispo, CA 93401
Open in Google Maps ↗

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.

RAYMOND SAINT TAVAREZ
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
ANANYA KUMAR
Health Educator
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
ALBERT REA
Rehabilitation Practitioner
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
AMANDA DUDA
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
MRS. LINDSAY CATHERINE WARDLAW AMFT
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
MALIA JOSEPHINE CARINIO
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
ANNA KATRINA WALDEN
Case Manager/Care Coordinator
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
AHNA NICOLE BISHOP LCSW
Social Worker (Clinical)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500

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 Tina Waggoner's NPI number?

The NPI number for Tina Waggoner is 1407547490. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Tina Waggoner located?

Tina Waggoner practices at 784 High St, San Luis Obispo, CA 93401. The listed phone number is (805) 540-6500.

What is Tina Waggoner'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 Tina Waggoner was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.