RANDALL DAVID DELISLE
NPI 1972995330
Marriage & Family Therapist in San Luis Obispo, CA

Active since February 23, 2015
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-4700 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Aug 14, 2019 (2 updates tracked since 2019).

About Randall David Delisle NPPES

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

RANDALL DAVID DELISLE (NPI 1972995330) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (122536) and active in the NPI registry since February 2015. He maintains a secondary practice location in Arroyo Grande.

NPPES Registry Identity

NPI1972995330
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameRANDALL DAVID DELISLE
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing AddressPo Box 3021Shell Beach, CA 93448-3021 · (209) 815-2526
Sole ProprietorYes
Enumeration DateFebruary 23, 2015
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1972995330 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 · 122536
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.
2178 JOHNSON AVE, San Luis Obispo, CA 93401

Other Names 1

Other Name (5)David Delisle

Secondary Practice Location 1

Location 11350 E Grand AveArroyo Grande, CA 93420-2422 · Phone (805) 474-2165

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.

Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

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 Randall Delisle's NPI number?

The NPI number for Randall Delisle is 1972995330. It was assigned to this individual provider in the NPPES registry on February 23, 2015. The provider is also known as David Delisle.

Where is Randall Delisle located?

Randall Delisle practices at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 781-4700.

What is Randall Delisle's specialty?

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

When was this NPI record last updated?

The NPPES record for Randall Delisle was last updated on May 15, 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.