Active NPI
Ebony Omaka Ogbeide, MA, MFT
- Marriage & Family Therapist
- Compton, CA
National Provider Identifier
1114182615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT103023
- Practice address
- 901 W Victoria St Ste F
Compton, CA 90220-5820 - Phone
- (310) 669-9510
- NPI assigned
- Jul 23, 2008
- Last updated
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | AMFT103023 | CA | Primary |
Addresses
Primary practice location
901 W Victoria St Ste F
Compton, CA 90220-5820
Mailing address
901 W Victoria St Ste F
Compton, CA 90220-5820
Phone (310) 669-9510
Other practice location 1
4300 Long Beach Blvd
Suite 700
Long Beach, CA 90807-2011
Phone (310) 783-4677
Other practice location 2
204 Hampton Dr
Venice, CA 90291-2623
Phone (323) 570-8445
Other names 1
- Ebony Omaka Beasley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT103023 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Compton, CA
- NPI 1467582734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1114182615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W VICTORIA ST STE F",
"city": "COMPTON",
"state": "CA",
"postal_code": "902205820",
"telephone_number": "310-669-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W VICTORIA ST STE F",
"city": "COMPTON",
"state": "CA",
"postal_code": "902205820",
"telephone_number": "310-669-9510"
}
],
"practiceLocations": [
{
"address_1": "4300 Long Beach Blvd",
"address_2": "Suite 700",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908072011",
"country_code": "US",
"telephone_number": "310-783-4677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Hampton Dr",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "CA",
"postal_code": "902912623",
"country_code": "US",
"telephone_number": "323-570-8445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGBEIDE",
"first_name": "EBONY",
"middle_name": "OMAKA",
"name_prefix": "Mrs.",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT103023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EBONY",
"last_name": "BEASLEY",
"middle_name": "OMAKA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Compton, CA
- Charles O Obika
- Occupational Health Centers of California, a Medical Corporation (Concentra medical Center)
- Santos Maria Ochoa, B.A.
- Michael Odom
- Mavisclara Ofoegbu
- Anthonia Chileme Ogele, M.D
- Gloria Ngozi Okoh, NP
- Sunday Iro Okoro, COUNSELOR
- Okuli Eagle's Nest Foundation, Inc. (Okuli Counseling Services)
- Richard Olguin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.