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

Mr. Matthew Booth

Individual provider Mental Health Counselor · NPI 1255719464

Mr. Matthew Booth is a Mental Health Counselor in San Luis Obispo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1585 Kansas Ave
San Luis Obispo, CA 93405-7604
Phone: (619) 300-2968
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3173 (CA)

Record details

NPI number1255719464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

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