Dawn Crugnale Ebner, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

121359 Issued in CA

Practice address

11239 Tampa Ave Ste 206
Northridge, CA 91326-3781

Phone

(805) 273-1820

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1114438371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 VIA DE LA LUZ",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206929",
            "telephone_number": "805-368-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 TAMPA AVE STE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263781",
            "telephone_number": "805-273-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNER",
        "first_name": "DAWN",
        "middle_name": "CRUGNALE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "121359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Anne Duran
• Michelle Durazo
• Carson Katheryne Durham, MS
• E R Pharmacy RX Inc (E R Pharmacy Rx)
• Tali Eben, PHARM.D.
• Mohsen Ebneshahidi, M.D
• Shahin Ebrahimian, M.D.
• Candice Echeverria, IBCLC
• Daniel Echeverry Bustamante, PT
• Sarah Echlin

• Mental Health Counselor in Northridge, CA
• Providers in Northridge, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.