MICHAEL EISENHAUER
NPI 1780137133
Counselor - Professional in San Diego, CA

Q: What is Michael Eisenhauer's NPI number?

The NPI number for Michael Eisenhauer is 1780137133. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Q: What is Michael Eisenhauer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since August 02, 2016

5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120(888) 588-8995 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Dec 22, 2022, Apr 18, 2018 and 1 more (4 updates tracked since 2018).

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About Michael Eisenhauer NPPES

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

MICHAEL EISENHAUER (NPI 1780137133) is an individual professional provider in San Diego, California, licensed in California (LPCC4648) and active in the NPI registry since August 2016. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780137133

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMICHAEL EISENHAUER

Location Address5555 RESERVOIR DR STE 309San Diego, CA 92120-5193

Mailing Address5555 Reservoir Dr Ste 309San Diego, CA 92120-5193 · (619) 876-4502

Phone(888) 588-8995

Sole ProprietorNo

Enumeration DateAugust 2, 2016

Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1780137133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in CA · LPCC4648✔ Licensed in VA · 0701006573

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCC4648 (CA)

5555 RESERVOIR DR STE 309, San Diego, CA 92120

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Secondary Practice Locations 2

Location 14309 3rd AveSan Diego, CA 92103-1407 · Phone (619) 421-6900

Location 211204 Waples Mill RdFairfax, VA 22030-6036 · Phone (703) 218-8500 · Fax (703) 359-0463

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 13

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

BERTHA ALICIA BAUTISTA LMFT

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