Individual provider Active NPI

Brian Ebbers

  • Peer Specialist
  • Sacramento, CA
National Provider Identifier
1124803259
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-XLRGQZ Issued in CA
Practice address
3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone
(916) 283-8280
Fax
(916) 283-8259
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Peer Specialist 175T00000X MPSS-XLRGQZ CA Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971

Mailing address

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone (916) 283-8280

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

State licenses

LicenseStateTypeSpecialty
MPSS-XLRGQZCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs - PSH CurrentSince Sep 1, 2023 Accepting new patients
Turning Point Community Programs CurrentSince Jan 7, 2024 Accepting new patients

Locations

3947 Lennane Dr
Ste 110
Sacramento, CA 95834
Phone (916) 283-8259

3810 Rosin Ct
Ste 180
Sacramento, CA 95834
Phone (916) 283-8253

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1124803259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBERS",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-XLRGQZ",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.