Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Austin Tanaka Waller

Individual provider Mental Health Counselor · NPI 1508350851

Mr. Austin Tanaka Waller is a Mental Health Counselor in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
4

Practice location Address checks out

995 Gateway Center Way Ste 300
San Diego, CA 92102-4550
Phone: (619) 398-2168
Fax: (619) 398-2168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21600 Oxnard St, Woodland Hills, CA 91367-4976 — (619) 864-7070

Specialties & licences

Rehabilitation Counselor (primary) Taxonomy 225C00000X (CA)
Mental Health Counselor Taxonomy 101YM0800X
Behavior Analyst Taxonomy 103K00000X · Licence F5130372 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1508350851
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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