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

Paul Russell Ostrom

Individual provider Marriage & Family Therapist · NPI 1457986226

Paul Russell Ostrom is a Mental Health Counselor in San Diego, California. Qualified in 2017, 9 years ago. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4065 3rd Ave Ste 223
San Diego, CA 92103-2184
Phone: (619) 515-2446
Fax: (619) 269-0674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC12712 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 101075 (CA)

Record details

NPI number1457986226
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2020
Last updated in NPPESOctober 25, 2024
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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