IndividualActive
Randall Delisle
NPI 1972995330 · Marriage & Family Therapist · San Luis Obispo, CA
Provider details
- NPI number
- 1972995330
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 122536 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone: (805) 781-4700
Street-level locationGet directions
Mailing address
Po Box 3021
Shell Beach, CA 93448-3021
Additional practice locations (1)
- 1350 E Grand AveArroyo Grande, CA 93420-2422Phone: (805) 474-2165
Registry dates
- Enumerated
- 2015-02-23
- Last updated
- 2023-05-15
- Certified
- 2021-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.