Individual provider Active NPI

Eveline Garbin

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1225496227
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100611 Issued in CA
Practice address
125 W Thousand Oaks Blvd Ste 500
Thousand Oaks, CA 91360-4462
Phone
(805) 777-3500
NPI assigned
Feb 4, 2016
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100611 CA Primary

Addresses

Primary practice location

125 W Thousand Oaks Blvd Ste 500
Thousand Oaks, CA 91360-4462

Mailing address

125 W Thousand Oaks Blvd Ste 500
Thousand Oaks, CA 91360-4462
Phone (805) 777-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829003663 CA Practitioner - Marriage and Family Therapist 6901345248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

125 W Thousand Oaks Blvd
Suite 500
Thousand Oaks, CA 91360-4402
Phone (805) 777-3500

300 Hillmont Ave
Ventura, CA 93003-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100611CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 1, 2023 Accepting new patients
County of Ventura CurrentSince Jun 24, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jun 24, 2024 Accepting new patients
San Fernando Valley Community Mental Health Center, Inc Past Accepting new patients
San Fernando Valley Community Mental Health Center, Inc. PastSince Sep 24, 2023 Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

125 W Thousand Oaks Blvd
Ste 500
Thousand Oaks, CA 91360
Phone (805) 777-3500

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1225496227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 500",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604462",
            "telephone_number": "805-777-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 500",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604462",
            "telephone_number": "805-777-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBIN",
        "first_name": "EVELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.